Uterine tumor resembling ovarian sex cord tumor: we can diagnose it if we consider it. Case report and literature review

C. Maier, A. Potecă, M. Olinca, R. Vlădăreanu, E. Brătilă

Rezumat: Uterine tumor resembling ovarian sex cord tumor (UTROSCT) represents a rare uterine neoplasm with uncertain malignant potential. Several reports have described recurrences, metastases and even deaths associated with these generally considered benign tumors, thus making them a controversial disease entity. UTROSCT has an unclear histogenesis and it possesses a polyphenotypic immunophenotype. We present a case of UTROSCT in a patient accusing abnormal genital bleeding and symptoms associated with anemia. After performing a total abdominal hysterectomy with bilateral salpingectomy, the final pathology report revealed UTROSCT with no sarcomatous features. The patient is still disease-free after 30 months of follow-up. We also present the data available in literature regarding this relative new type of uterine tumor. We are of the opinion that a high index of suspicion is of paramount importance when examining a patient with an uterine mass in order to promptly identify the risk factors that may predict agressive tumor behaviour.
Cuvinte cheie: UTROSCT, abnormal uterine bleeding, ultrasound, case report.