A Case of Uterine Tumor Resembling Ovarian Sex Cord Tumor Treated with Uterine Wedge Resection

Introduction: Uterine tumor resembling ovarian sex cord tumors (UTROSCT) are infrequent forms of uterine tumors. It should be distinguished from endometrial stromal tumors with sex cord like elements (ESTSCLE) since the latter one is more aggressive and the outcome is poorer. Hysterectomy with or without adnexectomy is the preferred choice of treatment. Fertility preserving treatment options are getting common in the last decade for young patients. Hysteroscopic resection of the tumor is the most frequent approach. To our knowledge this is the first case of UTROSCT who was treated with uterine wedge resection. Case Report: We describe here a case of 26-year-old nulligravid woman with menometrorrhagia whose ultrasonographic examination revealed 4 cm submucous myoma. Abdominal myomectomy was done but the pathological result was UTROSCT. An abnormal lesion was detected in her control ultrasonography and PET/CT. She then underwent uterine wedge resection with clear surgical margins. She is being followed up for 6 years with no evidence of disease. Discussion: UTROSCT is usually seen in elderly women. Conservative management can be an option for younger women who have fertility desire. It seems like it is an acceptable choice since the tumor has low malignant potential. More cases are needed to support the safety of fertility preserving treatment and the outcome