GYNOB3 Sex cord tumor with annular tubules in a 15-year-old nulligravida. (Gynecology & Obstetrics).GYNOB3 SEX CORD TUMOR WITH ANNULAR TUBULES IN A 15-YEAR-OLD NULLIGRAVIDA. Andrea Cooke Hinton, MD, and Donald C. Gallup, MD, FACOG FACOG Fellow of the American College of Obstetricians and Gynecologists.
Fellow of the American College of Obstetricians and Gynecologists . Memorial Medical Center, Savannah, Ga.
Sex cord tumors with annular tubules (SCTAT) are neo-plasms that represent an intermediate histological type between Sertoli cell and Granulosa cell tumors. SCTAT tumors typically present with menorrhagia in the third decade of life. A review of the literature reveals that cases found in young adolescents are rare and usually associated with Peutz-Jeghers syndrome. When SCTAT tumors are found in association with Peutz-Jeghers syndrome, they are small, multifocal, and calcified Calcified
Hardened by calcium deposits.
Mentioned in: Heart Valve Repair . SCTAT tumors not associated with Peutz-Jeghers syndrome are comparatively larger in size, unilateral and without calcification or multifocality. This case report will review a 15-year-old nulligravida with a SCTAT tumor not associated with Peutz-Jeghers syndrome. She presented with a one-month history of heavy menses menses /men·ses/ (men´sez) the monthly flow of blood from the female genital tract.
n. with dysmenorrhea. An ultrasound revealed a multilobulated mass attached to the right ovary measuring 5.9 cm x 4.0 cm. Over the following month, the mass increased in size to 8.4 cm x 5.1 cm. CA-125 level was 25, AFP was 5 .3, and hCG was < 5. She underwent an exploratory laparotomy, a right salpingo-oophorectomy with an infracolic omentectomy, pelvic lymph node dissection Lymph node dissection
Surgical removal of a group of lymph nodes.
Mentioned in: Malignant Melanoma , high common iliac node sampling, and an incidental appendectomy. At the time of surgery, the mass was noted to be smooth in appearance, obscuring any normal ovarian tissue or architecture. Pathologic diagnosis revealed a smooth surfaced multicystic ovarian mass with discrete areas of annular tubules. The omentum omentum /omen·tum/ (o-men´tum) pl. omen´ta [L.] a fold of peritoneum extending from the stomach to adjacent abdominal organs.
colic omentum , gastrocolic omentum greater o. and lymph nodes were negative for tumor. Postoperative CA-125 level was 11, and serum Inhibin in·hib·in
A peptide hormone secreted by the follicular cells of the ovary and the Sertoli cells of the testis that inhibits secretion of follicle stimulating hormone from the anterior pituitary. was normal. She will be followed closely with serial CA-125 levels, serum Inhibin levels, and pelvic ultrasounds.