Sex cord-like elements in Müllerian lesions: Report of two rare cases and review of the literature
Sex cord-like elements (SCLEs) are uncommon in non-ovarian sex cord lesions in the female genital tract and are most commonly observed in uterine endometrial stromal tumors (EST) and uterine tumors resembling ovarian sex cord tumors (UTROSCT). Here, we describe two rare cases harboring SCLEs. The fi...
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| Vydané v: | Human Pathology Reports Ročník 42; s. 300799 |
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| Abstract | Sex cord-like elements (SCLEs) are uncommon in non-ovarian sex cord lesions in the female genital tract and are most commonly observed in uterine endometrial stromal tumors (EST) and uterine tumors resembling ovarian sex cord tumors (UTROSCT). Here, we describe two rare cases harboring SCLEs. The first case was a 72-year-old female with postmenopausal bleeding. Endometrial curettage showed endometrial polyps with SCLEs, confirmed by immunohistochemical staining for calretinin, Melan A, and inhibin. The second case was a 71-year-old female with a complex cystic and solid mass in the left ovary, and bilateral salpingo-oophorectomy revealed an ovarian adenosarcoma with extensive SCLEs. Both patients recovered well and the presence of SCLEs did not change the fate of the parent lesions. Our report highlights the importance of awareness of SCLEs in these Müllerian lesions, although exceedingly rare, to avoid diagnostic confusion. |
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| AbstractList | AbstractSex cord-like elements (SCLEs) are uncommon in non-ovarian sex cord lesions in the female genital tract and are most commonly observed in uterine endometrial stromal tumors (EST) and uterine tumors resembling ovarian sex cord tumors (UTROSCT). Here, we describe two rare cases harboring SCLEs. The first case was a 72-year-old female with postmenopausal bleeding. Endometrial curettage showed endometrial polyps with SCLEs, confirmed by immunohistochemical staining for calretinin, Melan A, and inhibin. The second case was a 71-year-old female with a complex cystic and solid mass in the left ovary, and bilateral salpingo-oophorectomy revealed an ovarian adenosarcoma with extensive SCLEs. Both patients recovered well and the presence of SCLEs did not change the fate of the parent lesions. Our report highlights the importance of awareness of SCLEs in these Müllerian lesions, although exceedingly rare, to avoid diagnostic confusion. Sex cord-like elements (SCLEs) are uncommon in non-ovarian sex cord lesions in the female genital tract and are most commonly observed in uterine endometrial stromal tumors (EST) and uterine tumors resembling ovarian sex cord tumors (UTROSCT). Here, we describe two rare cases harboring SCLEs. The first case was a 72-year-old female with postmenopausal bleeding. Endometrial curettage showed endometrial polyps with SCLEs, confirmed by immunohistochemical staining for calretinin, Melan A, and inhibin. The second case was a 71-year-old female with a complex cystic and solid mass in the left ovary, and bilateral salpingo-oophorectomy revealed an ovarian adenosarcoma with extensive SCLEs. Both patients recovered well and the presence of SCLEs did not change the fate of the parent lesions. Our report highlights the importance of awareness of SCLEs in these Müllerian lesions, although exceedingly rare, to avoid diagnostic confusion. |
| ArticleNumber | 300799 |
| Author | Varghese, Sharlin Yildiz, Bahadir Katerji, Hani Zhang, Huina McDowell, Jamie Linn Wang, Xi |
| Author_xml | – sequence: 1 givenname: Bahadir surname: Yildiz fullname: Yildiz, Bahadir organization: Dept. of Pathology and Laboratory Medicine, University of Rochester Medical Center, Rochester, NY 14640, United States – sequence: 2 givenname: Huina surname: Zhang fullname: Zhang, Huina organization: Dept. of Pathology and Laboratory Medicine, University of Rochester Medical Center, Rochester, NY 14640, United States – sequence: 3 givenname: Jamie Linn surname: McDowell fullname: McDowell, Jamie Linn organization: Dep. Of Gynecologic Oncology, University of Rochester Medical Center, Rochester, NY 14640, United States – sequence: 4 givenname: Hani surname: Katerji fullname: Katerji, Hani organization: Dept. of Pathology and Laboratory Medicine, University of Rochester Medical Center, Rochester, NY 14640, United States – sequence: 5 givenname: Sharlin surname: Varghese fullname: Varghese, Sharlin organization: Dept. of Pathology and Laboratory Medicine, University of Rochester Medical Center, Rochester, NY 14640, United States – sequence: 6 givenname: Xi surname: Wang fullname: Wang, Xi email: xi_wang@urmc.rochester.edu organization: Dept. of Pathology and Laboratory Medicine, University of Rochester Medical Center, Rochester, NY 14640, United States |
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| Cites_doi | 10.1097/01.pgp.0000185409.31427.07 10.1136/jcp.2008.063727 10.1111/his.12314 10.1186/s13000-019-0909-y 10.1097/01.pgp.0000233168.41138.ae 10.1097/PGP.0000000000000339 10.1097/PGP.0000000000000231 10.1097/01.pgp.0000158532.90747.e7 10.3346/jkms.2001.16.2.237 10.1093/ajcp/91.6.664 10.1097/00000478-200210000-00001 10.1097/PAS.0b013e318272c612 10.1097/PGP.0b013e31820f31f6 10.1097/PGP.0000000000000910 10.1053/j.anndiagpath.2004.01.007 10.1097/PAS.0000000000001348 10.1097/00004347-198303000-00001 10.1097/PGP.0000000000000268 10.1097/00004347-199010000-00009 10.1111/j.1479-828X.1993.tb02134.x 10.1016/j.humpath.2014.12.010 10.1097/PAS.0000000000001153 |
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| Keywords | Adenosarcoma Sex cord-like elements Endometrial polyp |
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Pathol. doi: 10.1097/00004347-199010000-00009 – volume: 33 start-page: 437 year: 1993 ident: 10.1016/j.hpr.2025.300799_b0040 article-title: Composite mucinous and granulosa-theca-cell tumour of the ovary: an unusual neoplasm publication-title: Aust. N. Z. J. Obstet. Gynaecol. doi: 10.1111/j.1479-828X.1993.tb02134.x – volume: 46 start-page: 614 year: 2015 ident: 10.1016/j.hpr.2025.300799_b0080 article-title: Juvenile granulosa cell tumor arising in ovarian adenosarcoma: an unusual form of sarcomatous overgrowth publication-title: Hum. Pathol. doi: 10.1016/j.humpath.2014.12.010 – volume: 43 start-page: 178 year: 2019 ident: 10.1016/j.hpr.2025.300799_b0100 article-title: Uterine tumor resembling ovarian sex cord tumor: a distinct entity characterized by recurrent NCOA2/3 gene fusions publication-title: Am. J. Surg. Pathol. doi: 10.1097/PAS.0000000000001153 |
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| Snippet | Sex cord-like elements (SCLEs) are uncommon in non-ovarian sex cord lesions in the female genital tract and are most commonly observed in uterine endometrial... AbstractSex cord-like elements (SCLEs) are uncommon in non-ovarian sex cord lesions in the female genital tract and are most commonly observed in uterine... |
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| SubjectTerms | Adenosarcoma Endometrial polyp Pathology Sex cord-like elements |
| Title | Sex cord-like elements in Müllerian lesions: Report of two rare cases and review of the literature |
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