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Table 1 Clinicopathological presentations

From: Estrogen-producing endometrioid adenocarcinoma resembling sex cord-stromal tumor of the ovary: a review of four postmenopausal cases

 

case 1

case 2

case 3

case 4

age

60

61

70

79

menopausal age

52

49

52

53

complaint

atypical genital bleeding

atypical genital bleeding

abdominal distension

no symptom

a E2 (pg/ml)

52.0

48.7

83.0

50.0

a FSH (mIU/ml)

4.8

8.4

6.9

23.4

preoperative diagnosis

GCT or thecoma

thecoma

GCT or thecoma

thecoma, fibroma or Brenner tumor

treatment

TAH, BSO

TAH, BSO

TAH, BSO, OMT

TAH, BSO, OMT, TCx6

FIGO stage

IA

IA

IA

IC

follow-up

NED 48 months

NED 38 months

NED 7 months

NED 39 months

side

left

left

right

left

size (cm)

9x9

10x9

16x7

10x8

gross

solid/yellow

solid/yellow

solid/yellow

solid and cystic/gray-white

cervicovaginal smear (MI)

not available

0/10/90

5/30/65

5/20/75

endometrial smear

not available

active

active

not performed

SCST components

20% (SCT)

50% (SCT>GCT)

80% (GCT>SCT)

50% (SCT)

other components

-

EMAF

-

EMAF and MCA

endometriosis

-

+

-

-

functioning stroma

+++

+

+++

+

  1. a pre-operative.
  2. FSH: follicle stimulating hormone, TAH: total abdominal hysterectomy, BSO: bilateral salpingo-oophorectomy.
  3. OMT: omentectomy, TC: paclitaxel+ carboplatin, NED: no evidence of desease.
  4. SCST: sex-cord stromal tumor, SCT: Sertori cell tumor, GCT: granulosa cell tumor.
  5. EMAF: endometrioid adenofibroma, MCA: mucinous cystadenofibroma.