Uterine sex cord tumour- Management dilemma

Uterine sex cord tumour is a very rare tumour with uncertain management strategies and prognosis. A 61-year-old, nulliparous, who was not on hormone replacement therapy, presented with first episode of postmenopausal bleeding. A transvaginal scan revealed an enlarged uterus with thick endometrial li...

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Main Authors:	Mohamad Nasir S, Lim PS, Swaminathan M, Hatta MD, Mohd Hashim O
Format:	Article
Language:	English
Published:	Department of Surgery, UKM Medical Centre 2011
Online Access:	http://journalarticle.ukm.my/2956/ http://journalarticle.ukm.my/2956/ http://journalarticle.ukm.my/2956/1/7-9.pdf

id	ukm-2956
recordtype	eprints
spelling	ukm-29562016-12-14T06:33:10Z http://journalarticle.ukm.my/2956/ Uterine sex cord tumour- Management dilemma Mohamad Nasir S, Lim PS, Swaminathan M, Hatta MD, Mohd Hashim O, Uterine sex cord tumour is a very rare tumour with uncertain management strategies and prognosis. A 61-year-old, nulliparous, who was not on hormone replacement therapy, presented with first episode of postmenopausal bleeding. A transvaginal scan revealed an enlarged uterus with thick endometrial lining and features of multiple degenerated fibroid. Endometrial biopsy was negative for malignancy. Computed tomography of the abdomen and pelvis confirmed the mass, with atrophic ovaries and incidental finding of bilateral hydronephrosis requiring stentings. Otherwise, there were no pelvic lymph nodes enlargement. Our impression was a uterine sarcoma and we decided for total abdominal hysterectomy with bilateral salpingooophorectomy. Surprisingly, the histology report confirmed uterine sex cord tumour. There are less cases of recurrence and there is no general consensus on the management. However, we decided for adjuvant chemotherapy (BEP regime) as the malignant cells infiltrated more than half of myometrial thickness, with good outcome. Department of Surgery, UKM Medical Centre 2011-10 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/2956/1/7-9.pdf Mohamad Nasir S, and Lim PS, and Swaminathan M, and Hatta MD, and Mohd Hashim O, (2011) Uterine sex cord tumour- Management dilemma. Journal of Surgical Academia, 1 (2). pp. 7-9. ISSN 2231-7481 http://jsurgacad.com/
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	Uterine sex cord tumour is a very rare tumour with uncertain management strategies and prognosis. A 61-year-old, nulliparous, who was not on hormone replacement therapy, presented with first episode of postmenopausal bleeding. A transvaginal scan revealed an enlarged uterus with thick endometrial lining and features of multiple degenerated fibroid. Endometrial biopsy was negative for malignancy. Computed tomography of the abdomen and pelvis confirmed the mass, with atrophic ovaries and incidental finding of bilateral hydronephrosis requiring stentings. Otherwise, there were no pelvic lymph nodes enlargement. Our impression was a uterine sarcoma and we decided for total abdominal hysterectomy with bilateral salpingooophorectomy. Surprisingly, the histology report confirmed uterine sex cord tumour. There are less cases of recurrence and there is no general consensus on the management. However, we decided for adjuvant chemotherapy (BEP regime) as the malignant cells infiltrated more than half of myometrial thickness, with good outcome.
format	Article
author	Mohamad Nasir S, Lim PS, Swaminathan M, Hatta MD, Mohd Hashim O,
spellingShingle	Mohamad Nasir S, Lim PS, Swaminathan M, Hatta MD, Mohd Hashim O, Uterine sex cord tumour- Management dilemma
author_facet	Mohamad Nasir S, Lim PS, Swaminathan M, Hatta MD, Mohd Hashim O,
author_sort	Mohamad Nasir S,
title	Uterine sex cord tumour- Management dilemma
title_short	Uterine sex cord tumour- Management dilemma
title_full	Uterine sex cord tumour- Management dilemma
title_fullStr	Uterine sex cord tumour- Management dilemma
title_full_unstemmed	Uterine sex cord tumour- Management dilemma
title_sort	uterine sex cord tumour- management dilemma
publisher	Department of Surgery, UKM Medical Centre
publishDate	2011
url	http://journalarticle.ukm.my/2956/ http://journalarticle.ukm.my/2956/ http://journalarticle.ukm.my/2956/1/7-9.pdf
first_indexed	2023-09-18T19:37:27Z
last_indexed	2023-09-18T19:37:27Z
_version_	1777405365685583872

Uterine sex cord tumour- Management dilemma

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