ICEECE2012 Poster Presentations Female Reproduction (99 abstracts)
Sertoli cells ovarian tumor- an ovarian incidentaloma?
C. Poiana 1, , M. Carsote 1 , R. Trifanescu 1, , C. Ene 2 , C. Neamtu 2 , C. Iosif 3 & D. Terzea 1,
1UMPh Davila, Bucharest, Romania; 2I.Parhon, Bucharest, Romania; 3I.Babes, Bucharest, Romania.
Introduction: Infertility investigations include uterine–ovarian ultrasound. The incidental finding of a tumor in a young female might associate a potential severe prognosis in otherwise completely asymptomatic patient.
Aim: We present a case of a young female with an accidentally discovered ovarian tumor.
Case report: S.M. 35-year female patient is admitted for infertility. Her family and personal medical history is irrelevant. The biochemistry and endocrine profile is normal, including plasma testosterone, LH, FSH, TSH and 21-day plasma progesterone of 11.7 ng/ml. The pelvic ultrasound pointed a uterus of 39 by 39 mm, normal right ovary and a hypoecogen solid tumor of 31 by 30 mm with penetrating vessels at the level of the left ovary. The pelvic CT showed a left ovarian, homogenous, well shaped, iodophile tumor of 29 by 27 by 32 mm, and no lymph nodes. Left ovarectomy was performed and the pathological report showed a Sertoli cells (annular tubes variant). The immunohistochemistry revealed a ki67 of 1–3%, positive ck7 and vimentin into the tumor cells and negative CROMO, CEA, ck20, inhibin, 34βE12 and positive actin into the stroma but not into the tumor. The benign profile of the tumor did not make necessary any additional therapy, except for follow up. For the moment, no fertility procedures are indicated.
Conclusion: Practitioners should be aware of the possibility that an ovarian incidentaloma might be associated with fertility issues.
Declaration of interest: The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research project.
Funding: This research did not receive any specific grant from any funding agency in the public, commercial or not-for-profit sector.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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