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Case Reports
. 2015 May 12:2015:bcr2014207841.
doi: 10.1136/bcr-2014-207841.

Preservation of fertility in non-Peutz-Jegher syndrome-associated ovarian sex cord tumour with annular tubules

Kyriaki Chatziioannidou  1 , Diomidis Botsikas  2 , Jean-Christophe Tille  3 , Jean Dubuisson  4
Affiliations
Case Reports

Preservation of fertility in non-Peutz-Jegher syndrome-associated ovarian sex cord tumour with annular tubules

Kyriaki Chatziioannidou et al. BMJ Case Rep. .

Abstract

We report the successful conservative management of a non-Peutz-Jegher syndrome-associated ovarian sex cord tumour with annular tubules in a 32-year-old patient. The patient underwent a unilateral salpingo-oophorectomy by laparoscopy, and conceived spontaneously approximately 6 months after the diagnosis. After a normal term pregnancy, she underwent a contralateral laparoscopic salpingo-oophorectomy with hysterectomy. The patient is now on hormone replacement therapy and, after 30 months of follow-up, continues to present no sign of disease recurrence.

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Figures

Figure 1
Figure 1
MRI findings. The lesion appears as a solid hypointense mass in the axial T1-weighted image (white arrow in A); as hypointense with rare hyperintense spots in the axial T2-weighted image (white arrow in B); with restricted diffusion as seen on b1000 images (white arrow in C); and with a low apparent diffusion coefficient (black arrow in D). Picture 1e corresponds to the fusion of T2 (B) and b1000 (C), thus combining anatomic and functional information.
Figure 2
Figure 2
Laparoscopic view of the ovarian mass.
Figure 3
Figure 3
Macroscopic view of the whole ovarian mass (left). Cross-section of the mass (right).
Figure 4
Figure 4
Microscopic view of the ovarian mass.
See this image and copyright information in PMC

References

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