Sklerozan Stromal Ovariyan Tümör Olgularının Analizi
AbstractAim: The main purpose of this study is to evaluate clinical and radiological features of patients who are diagnosed with sclerosing stromal tumor of the ovary (SSOT) in our clinic and our surgical treatment experiences about these patients who have this rarely seen benign tumor.Materials and Methods: Between April 2002 and January 2014, data of 11 cases that were operated with prediagnosis of adnexal mass and diagnosed as SSOT after postoperative histopathologic evaluation in gynecology oncology clinic were retrospectively examined. The limit of the performed operation was determined with the frozen/section which is routinely used in adnexal mass management in our clinic.Results: The mean age of the patients was 28 (minimum: 14- maximum: 60) in the course of the diagnosis. Seven patients were in reproductive, 2 patients were in postmenopausal and the other 2 patients were in adolescence period. The presenting symptom was pelvic pain in 4 of the patients (36.4%) and primary infertility in 3 of the patients (27.3%). The mean size of the masses was 95 mm (minimum: 23 mm-maximum: 240 mm). All of the masses were unilateral. The masses were localized in right-hand-side in 6 patients (54.5%). Tumor was in ovarian localization for 10 patients, in paraovarian localization for 1 patient. In ultrasonography, 80% of the masses had a solid component, 70% of them had a partly cystic areas and 60% of them had a multilobular structure. Two patients who were detected ascites had high CA 125 levels too. Cystectomy to 4 patients, paraovarian mass excision to 1 patient, oophorectomy to 2 patients and unilateral salpingo-oophorectomy to 3 patients were performed. Total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed to one of the patients who had also persistence endometrial hyperplasia.Conclusion: The preoperative diagnosis of SSOT is extremely difficult and definitive diagnosis of SSOT is made with postoperative pathologic evaluation. Using frozen/section for determining the limits of surgical procedure to perform conservative surgery to SSOT, which is rarely seen benign tumor and is cured after surgery, will be a true management.
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