Ovarian Sertoli-Leydig cell tumor, endometrioid-like yolk sac tumor, and Y-chromosomal material

Oncology
Ugo De GiorgiMaurizio Marangolo

Abstract

Sertoli-Leydig cell tumors (SLCTs) are rare neoplasms, accounting for less than 0.2% of ovarian tumors. The endometrioid-like variant of yolk sac tumor (YST) is very rare, and the most extensive series reported only 8 cases. We present a case of ovarian SLCT with endometrioid-like YST in a patient with a 46,XX karyotype with Y-chromosomal material. A 26-year-old woman had undergone a right salpingo-oophorectomy for SLCT with endometrioid-like YST. Chromosomal analysis revealed a 46,XX karyotype with Y-chromosomal material insertion into chromosome 1. The patient's father and sister, and 7 other paternal relatives (4 male and 3 female) presented the same chromosome variant without evidence of cancer. The YST component relapsed to the right side of the uterine wall and then metastasized to the peritoneum and liver, while SLCT was eradicated with primary surgery. Several chemotherapeutic regimens were totally ineffective to control tumor progression. She died of disease progression 54 months after the diagnosis. We adopted the policy of a close surveillance for ovarian neoplasms for the 22-year-old sister of the patient, who presented the same Y-chromosomal material in her karyotype. In very rare tumors, new methods, based on mole...Continue Reading

Citations

Feb 3, 2004·Journal of Cellular and Molecular Medicine·Ancuta Gheorghisan-GalateanuV Horhoianu
Oct 7, 2006·Experimental and Molecular Pathology·Xichun SunMahmoud A Eltorky
Jan 20, 2007·Virchows Archiv : an International Journal of Pathology·I VerdorferG Mikuz
Jul 11, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·James Nef, Daniela Emanuela Huber

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