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Ovarian mass in a patient with invasive breast carcinoma: A case report of an unexpected diagnosis

Ovarian steroid cell tumors not otherwise specified (OSCT-NOS) are extremely rare ovarian sex cord stromal tumors, accounting for

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Published in:International journal of surgery case reports 2024-04, Vol.117, p.109457, Article 109457
Main Authors: Thayer, Maissa Ben, Sahraoui, Ghada, Abouda, Hassine Saber, Farhati, Mahdi, Doghri, Raoudha, Mrad, Karima
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container_title International journal of surgery case reports
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creator Thayer, Maissa Ben
Sahraoui, Ghada
Abouda, Hassine Saber
Farhati, Mahdi
Doghri, Raoudha
Mrad, Karima
description Ovarian steroid cell tumors not otherwise specified (OSCT-NOS) are extremely rare ovarian sex cord stromal tumors, accounting for
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In 25 % of cases, they are asymptomatic leading to a delay in diagnosis. We, herein, report a singular case of OSCT-NOS diagnosed incidentally during the spread assessment of an invasive breast carcinoma of no special type (IBC-NOS). To the best of our knowledge, this is the first reported case of co-occurrence of OSCT-NOS and IBC-NOS. We aim to study the clinic-pathological characteristics of this rare tumor. A 56-years old postmenopausal female, with no previous medical history, was diagnosed with an invasive IBC-NOS. The tomography performed during the spread assessment of IBC-NOS showed a suspicious mass of the right ovary. Pelvic MRI revealed an ovarian solid T1 isointense and T2 hyperintense mass. The first evoked diagnosis was an ovarian metastasis of the IBC-NOS. The patient underwent bilateral salpingo-oophorectomy. On gross examination, an ovarian solid mass measuring 2,5x2cm, with a firm gray yellowish cut surface was noted. Microscopic examination and immunostaining concluded to OSCT-NOS and ruled out the diagnosis of an ovarian metastasis of IBC-NOS. OSCT-NOS are rare neoplasms. Their diagnosis might be challenging especially in absence of hormonal symptoms. A better knowledge of this rare entities would enable early diagnosis. •Ovarian steroid cell tumors not otherwise specified (OSCT-NOS) are extremely rare ovarian sex cord stromal tumors.•In 75% of cases, OSCT-NOS have a secretory activity.•Their diagnosis might be challenging especially in absence of hormonal symptoms.•We reported the first case of co-occurrence of invasive breast carcinoma NOS (IBC-NOS) and OSCT-NOS. The diagnosis of steroid tumor was unexpected, given that the patient had no hormonal signs and the radiological data suggested ovarian metastasis of her IBC-NOS in the first instance.•Given the rarity of these tumors, the therapeutic strategies are not yet well established.</description><identifier>ISSN: 2210-2612</identifier><identifier>EISSN: 2210-2612</identifier><identifier>DOI: 10.1016/j.ijscr.2024.109457</identifier><identifier>PMID: 38471218</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Breast carcinoma ; Case Report ; Ovarian steroid cell tumor ; Ovarian tumor ; Sex cord tumor</subject><ispartof>International journal of surgery case reports, 2024-04, Vol.117, p.109457, Article 109457</ispartof><rights>2024</rights><rights>Copyright © 2024. 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In 25 % of cases, they are asymptomatic leading to a delay in diagnosis. We, herein, report a singular case of OSCT-NOS diagnosed incidentally during the spread assessment of an invasive breast carcinoma of no special type (IBC-NOS). To the best of our knowledge, this is the first reported case of co-occurrence of OSCT-NOS and IBC-NOS. We aim to study the clinic-pathological characteristics of this rare tumor. A 56-years old postmenopausal female, with no previous medical history, was diagnosed with an invasive IBC-NOS. The tomography performed during the spread assessment of IBC-NOS showed a suspicious mass of the right ovary. Pelvic MRI revealed an ovarian solid T1 isointense and T2 hyperintense mass. The first evoked diagnosis was an ovarian metastasis of the IBC-NOS. The patient underwent bilateral salpingo-oophorectomy. On gross examination, an ovarian solid mass measuring 2,5x2cm, with a firm gray yellowish cut surface was noted. Microscopic examination and immunostaining concluded to OSCT-NOS and ruled out the diagnosis of an ovarian metastasis of IBC-NOS. OSCT-NOS are rare neoplasms. Their diagnosis might be challenging especially in absence of hormonal symptoms. A better knowledge of this rare entities would enable early diagnosis. •Ovarian steroid cell tumors not otherwise specified (OSCT-NOS) are extremely rare ovarian sex cord stromal tumors.•In 75% of cases, OSCT-NOS have a secretory activity.•Their diagnosis might be challenging especially in absence of hormonal symptoms.•We reported the first case of co-occurrence of invasive breast carcinoma NOS (IBC-NOS) and OSCT-NOS. The diagnosis of steroid tumor was unexpected, given that the patient had no hormonal signs and the radiological data suggested ovarian metastasis of her IBC-NOS in the first instance.•Given the rarity of these tumors, the therapeutic strategies are not yet well established.</description><subject>Breast carcinoma</subject><subject>Case Report</subject><subject>Ovarian steroid cell tumor</subject><subject>Ovarian tumor</subject><subject>Sex cord tumor</subject><issn>2210-2612</issn><issn>2210-2612</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kNtKAzEQhoMottQ-gSB5gdYcttmsIFKKJyj0Rq_DbJJtU9rdJdmu-vamXS31xlxMkpn5_2E-hK4pGVNCxe167NZB-zEjLImZLJmkZ6jPGCUjJig7P3n30DCENYmHMykYu0Q9LpOUMir7KF-04B2UeAshYFdiwDU0zpYN_nDNKmZaCK61OPcWQoM1eO3Kagt3eBo_wWJv68o3uCpwdNmV9rO2urEGGwfLsgouXKGLAjbBDn_uAXp_enybvYzmi-fX2XQ-0jxNmxE1eUZyqTVPgGSUToBqIXImtInRSEaMlhOa5KlImLBSSsKzTBc5B5NxUvABeuh8612-tUbHHTxsVO3dFvyXqsCpv5XSrdSyatUBHxU8OvDOQfsqBG-Lo5gStceu1uqAXe2xd7o0qm5O5x41v5Bjw33XYOP2rbNeBR0Ja2ucj6yUqdy_A74Bl6mWIA</recordid><startdate>20240401</startdate><enddate>20240401</enddate><creator>Thayer, Maissa Ben</creator><creator>Sahraoui, Ghada</creator><creator>Abouda, Hassine Saber</creator><creator>Farhati, Mahdi</creator><creator>Doghri, Raoudha</creator><creator>Mrad, Karima</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8599-0888</orcidid></search><sort><creationdate>20240401</creationdate><title>Ovarian mass in a patient with invasive breast carcinoma: A case report of an unexpected diagnosis</title><author>Thayer, Maissa Ben ; Sahraoui, Ghada ; Abouda, Hassine Saber ; Farhati, Mahdi ; Doghri, Raoudha ; Mrad, Karima</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c377t-1db90b8cc34a09115a1c66b26cd6b2d820dc8514b76426e8880399cfb3ad930f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Breast carcinoma</topic><topic>Case Report</topic><topic>Ovarian steroid cell tumor</topic><topic>Ovarian tumor</topic><topic>Sex cord tumor</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thayer, Maissa Ben</creatorcontrib><creatorcontrib>Sahraoui, Ghada</creatorcontrib><creatorcontrib>Abouda, Hassine Saber</creatorcontrib><creatorcontrib>Farhati, Mahdi</creatorcontrib><creatorcontrib>Doghri, Raoudha</creatorcontrib><creatorcontrib>Mrad, Karima</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of surgery case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thayer, Maissa Ben</au><au>Sahraoui, Ghada</au><au>Abouda, Hassine Saber</au><au>Farhati, Mahdi</au><au>Doghri, Raoudha</au><au>Mrad, Karima</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ovarian mass in a patient with invasive breast carcinoma: A case report of an unexpected diagnosis</atitle><jtitle>International journal of surgery case reports</jtitle><addtitle>Int J Surg Case Rep</addtitle><date>2024-04-01</date><risdate>2024</risdate><volume>117</volume><spage>109457</spage><pages>109457-</pages><artnum>109457</artnum><issn>2210-2612</issn><eissn>2210-2612</eissn><abstract>Ovarian steroid cell tumors not otherwise specified (OSCT-NOS) are extremely rare ovarian sex cord stromal tumors, accounting for &lt;0.1 % of all ovarian tumors. In 25 % of cases, they are asymptomatic leading to a delay in diagnosis. We, herein, report a singular case of OSCT-NOS diagnosed incidentally during the spread assessment of an invasive breast carcinoma of no special type (IBC-NOS). To the best of our knowledge, this is the first reported case of co-occurrence of OSCT-NOS and IBC-NOS. We aim to study the clinic-pathological characteristics of this rare tumor. A 56-years old postmenopausal female, with no previous medical history, was diagnosed with an invasive IBC-NOS. The tomography performed during the spread assessment of IBC-NOS showed a suspicious mass of the right ovary. Pelvic MRI revealed an ovarian solid T1 isointense and T2 hyperintense mass. The first evoked diagnosis was an ovarian metastasis of the IBC-NOS. The patient underwent bilateral salpingo-oophorectomy. On gross examination, an ovarian solid mass measuring 2,5x2cm, with a firm gray yellowish cut surface was noted. Microscopic examination and immunostaining concluded to OSCT-NOS and ruled out the diagnosis of an ovarian metastasis of IBC-NOS. OSCT-NOS are rare neoplasms. Their diagnosis might be challenging especially in absence of hormonal symptoms. A better knowledge of this rare entities would enable early diagnosis. •Ovarian steroid cell tumors not otherwise specified (OSCT-NOS) are extremely rare ovarian sex cord stromal tumors.•In 75% of cases, OSCT-NOS have a secretory activity.•Their diagnosis might be challenging especially in absence of hormonal symptoms.•We reported the first case of co-occurrence of invasive breast carcinoma NOS (IBC-NOS) and OSCT-NOS. 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subjects Breast carcinoma
Case Report
Ovarian steroid cell tumor
Ovarian tumor
Sex cord tumor
title Ovarian mass in a patient with invasive breast carcinoma: A case report of an unexpected diagnosis
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