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Article: Endometriosis-associated serous borderline tumor and endometrial stromal sarcoma of the Ovary: A report of a rare lesion in an infant
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TitleEndometriosis-associated serous borderline tumor and endometrial stromal sarcoma of the Ovary: A report of a rare lesion in an infant
 
AuthorsHo, RSL1
Chan, GCF1
Ha, SY1
Ip, PPC1
 
KeywordsChildren
Endometrial stromal sarcoma
Endometriosis
Infancy
Ovary
Premenarche
Serous borderline
 
Issue Date2012
 
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.intjgynpathology.com
 
CitationInternational Journal Of Gynecological Pathology, 2012, v. 31 n. 1, p. 98-102 [How to Cite?]
DOI: http://dx.doi.org/10.1097/PGP.0b013e31822103ca
 
AbstractEndometriosis in infancy is most unusual, and associated tumors in this age group are exceptionally rare. We report a case of a serous borderline tumor and endometrial stromal sarcoma arising in an ovarian endometriotic cyst. The patient was an infant of 18 months of age who presented with an incidental abdominal mass. The serum sex hormones were at prepubertal levels. There was no evidence of precocious puberty or any obvious genital anomaly. Intraoperative findings included a solitary solid and multicystic right ovarian mass without evidence of any extraovarian disease. On microscopic examination, the tumor was composed of an intimate mixture of florid papillary and stromal cell proliferation in the wall of an endometriotic cyst. The papillae showed hierarchical branching and had hyalinized and edematous cores with scattered psammoma bodies. The epithelial cells were mildly atypical and mitotically inactive. The underlying endometrial stromal cells were arranged in irregular tongues that permeated the thickened fibrous cyst wall. They were mitotically active and immunoreactive for CD10. There was no evidence of any primitive germ cell tumor. The patient received no adjuvant treatment and had an uneventful postoperative follow-up period of 30 months. To the best of our knowledge, endometriosis associated with this most unusual combination of ovarian tumors has never been reported in an infant. © 2012 International Society of Gynecological Pathologists.
 
ISSN0277-1691
2013 Impact Factor: 1.631
 
DOIhttp://dx.doi.org/10.1097/PGP.0b013e31822103ca
 
ISI Accession Number IDWOS:000298146600013
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorHo, RSL
 
dc.contributor.authorChan, GCF
 
dc.contributor.authorHa, SY
 
dc.contributor.authorIp, PPC
 
dc.date.accessioned2011-08-26T14:25:51Z
 
dc.date.available2011-08-26T14:25:51Z
 
dc.date.issued2012
 
dc.description.abstractEndometriosis in infancy is most unusual, and associated tumors in this age group are exceptionally rare. We report a case of a serous borderline tumor and endometrial stromal sarcoma arising in an ovarian endometriotic cyst. The patient was an infant of 18 months of age who presented with an incidental abdominal mass. The serum sex hormones were at prepubertal levels. There was no evidence of precocious puberty or any obvious genital anomaly. Intraoperative findings included a solitary solid and multicystic right ovarian mass without evidence of any extraovarian disease. On microscopic examination, the tumor was composed of an intimate mixture of florid papillary and stromal cell proliferation in the wall of an endometriotic cyst. The papillae showed hierarchical branching and had hyalinized and edematous cores with scattered psammoma bodies. The epithelial cells were mildly atypical and mitotically inactive. The underlying endometrial stromal cells were arranged in irregular tongues that permeated the thickened fibrous cyst wall. They were mitotically active and immunoreactive for CD10. There was no evidence of any primitive germ cell tumor. The patient received no adjuvant treatment and had an uneventful postoperative follow-up period of 30 months. To the best of our knowledge, endometriosis associated with this most unusual combination of ovarian tumors has never been reported in an infant. © 2012 International Society of Gynecological Pathologists.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationInternational Journal Of Gynecological Pathology, 2012, v. 31 n. 1, p. 98-102 [How to Cite?]
DOI: http://dx.doi.org/10.1097/PGP.0b013e31822103ca
 
dc.identifier.doihttp://dx.doi.org/10.1097/PGP.0b013e31822103ca
 
dc.identifier.epage102
 
dc.identifier.hkuros199040
 
dc.identifier.isiWOS:000298146600013
 
dc.identifier.issn0277-1691
2013 Impact Factor: 1.631
 
dc.identifier.issue1
 
dc.identifier.openurl
 
dc.identifier.pmid22123729
 
dc.identifier.scopuseid_2-s2.0-84856675481
 
dc.identifier.spage98
 
dc.identifier.urihttp://hdl.handle.net/10722/137477
 
dc.identifier.volume31
 
dc.languageeng
 
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.intjgynpathology.com
 
dc.publisher.placeUnited States
 
dc.relation.ispartofInternational Journal of Gynecological Pathology
 
dc.relation.referencesReferences in Scopus
 
dc.subjectChildren
 
dc.subjectEndometrial stromal sarcoma
 
dc.subjectEndometriosis
 
dc.subjectInfancy
 
dc.subjectOvary
 
dc.subjectPremenarche
 
dc.subjectSerous borderline
 
dc.titleEndometriosis-associated serous borderline tumor and endometrial stromal sarcoma of the Ovary: A report of a rare lesion in an infant
 
dc.typeArticle
 
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Author Affiliations
  1. The University of Hong Kong