Clinical and pathological features of five patients with UTROSCT
Case 1 | Case 2 | Case 3 | Case 4 | Case 5 | |
Age | Early 50s | Early 60s | Early 60s | Nearly 40 years | Nearly 40 years |
Symptoms | Irregular vaginal bleeding in the past 2 years | Menopause for 10 years and irregular vaginal bleeding 4 months earlier | Menopause for 22 years, irregular vaginal bleeding 14 days before admission | Increased menstrual bleeding and with the menstrual period extending for half a year | Increased menstrual bleeding for more than 3 months |
Ultrasonic examination | Hypoechoic area on the posterior wall of the uterus with protrusion into the uterine cavity | Hypoechoic protrusion on right uterine wall with clear boundary | Not available | Hypoechoic intrauterine nodules | Consider endometrial polyps |
General | Intramural nodules protruding into the uterine cavity, 4.5 cm in diameter | Intrauterine polypoid masses, 5 cm in diameter | Intramural nodules with polypoid bulging of the uterine cavity, 4 cm in diameter | Submucosal elevation, 3 cm in diameter (fragment tissue) | Polypoid masses, 1.5 cm in diameter |
Surgical approach | Hysterectomy and bilateral adnexectomy | Hysterectomy and bilateral adnexectomy | Hysterectomy and bilateral adnexectomy | Electrical resection | Hysterectomy and bilateral adnexectomy |
Muscular invasion | Tonguelike infiltration | Focal infiltration | Focal infiltration | Focal infiltration | Focal infiltration |
Nucleolus | Yes | Yes | None | None | None |
Necrosis | None | None | Yes | None | None |
Mitotic count (/10 HPF) | 2 | 1 | 1 | 0 | 0 |
Comorbidities | None | Leiomyoma | Leiomyoma | Endometrial polyps | Multiple endometrial polyps |
Medical history | None | Leiomyoma resection 20 years ago | Diabetes, taking metformin | None | None |
HPF, high-power field; UTROSCT, tumours resembling ovarian sex cord tumour.