Characteristics and outcomes analysis of ovarian Sertoli–Leydig cell tumors (SLCTs): analysis of 15 patients

Abstract Introduction Because of limited information of Sertoli–Leydig cell tumors (SLCTs), the objective aimed to describe clinical parameters, management and treatment results of SLCTs. Material and methods We retrospectively reviewed 15 cases with SLCTs, who were treated in the Affiliated Hospita...

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Autores principales: Guangning Wang, Ran Zhang, Chuan Li, Aiping Chen
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Lenguaje:EN
Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/a09404ccb7b349ab900dd3d24757549a
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spelling oai:doaj.org-article:a09404ccb7b349ab900dd3d24757549a2021-11-08T11:03:53ZCharacteristics and outcomes analysis of ovarian Sertoli–Leydig cell tumors (SLCTs): analysis of 15 patients10.1186/s13048-021-00909-71757-2215https://doaj.org/article/a09404ccb7b349ab900dd3d24757549a2021-11-01T00:00:00Zhttps://doi.org/10.1186/s13048-021-00909-7https://doaj.org/toc/1757-2215Abstract Introduction Because of limited information of Sertoli–Leydig cell tumors (SLCTs), the objective aimed to describe clinical parameters, management and treatment results of SLCTs. Material and methods We retrospectively reviewed 15 cases with SLCTs, who were treated in the Affiliated Hospital of Qingdao University between 2009 and 2020. Data of clinical parameters and treatment was studied. Results The age ranged 25–69 years. Elevated testosterone was observed in 4 patients. FIGO-stage: 14 were at Ia(10 moderately differentiated, 3 poorly differentiated, 5 retiform pattern).1 was at Ic. Patients with retiform pattern were more likely to exhibit endocrine function (p = 0.019, w = 0.61) and tumor diameter was significantly bigger in no endocrine function (p = 0.012, d = 1.52). All patients received surgical treatment. 8 received postoperative chemotherapy. The median follow-up was 66 months (20–112 months). 1 patient relapsed within 36 months and received cytoreductive surgery. She survived without disease after recurrence treatment. Of 5 patients who performed fertility sparing surgeries with the desire of childbirth, 3 had full-term pregnancy and 1 experienced a miscarriage. Another one has not tried to conceive. Conclusion The prognosis of SLCTs is good. Our data showed patients with retiform pattern were more likely to exhibit endocrine function. The diameter of tumor was significantly bigger in no endocrine function. Conservative surgery is the preferred option for patients with the desire of fertility at stage Ia. Postoperative chemotherapy is advised to cases with high-risk factors, but the most effective chemotherapy regimen is still uncertain.Guangning WangRan ZhangChuan LiAiping ChenBMCarticleSertoli–Leydig cell tumorsSLCTsConservative surgeryChemotherapyGynecology and obstetricsRG1-991ENJournal of Ovarian Research, Vol 14, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Sertoli–Leydig cell tumors
SLCTs
Conservative surgery
Chemotherapy
Gynecology and obstetrics
RG1-991
spellingShingle Sertoli–Leydig cell tumors
SLCTs
Conservative surgery
Chemotherapy
Gynecology and obstetrics
RG1-991
Guangning Wang
Ran Zhang
Chuan Li
Aiping Chen
Characteristics and outcomes analysis of ovarian Sertoli–Leydig cell tumors (SLCTs): analysis of 15 patients
description Abstract Introduction Because of limited information of Sertoli–Leydig cell tumors (SLCTs), the objective aimed to describe clinical parameters, management and treatment results of SLCTs. Material and methods We retrospectively reviewed 15 cases with SLCTs, who were treated in the Affiliated Hospital of Qingdao University between 2009 and 2020. Data of clinical parameters and treatment was studied. Results The age ranged 25–69 years. Elevated testosterone was observed in 4 patients. FIGO-stage: 14 were at Ia(10 moderately differentiated, 3 poorly differentiated, 5 retiform pattern).1 was at Ic. Patients with retiform pattern were more likely to exhibit endocrine function (p = 0.019, w = 0.61) and tumor diameter was significantly bigger in no endocrine function (p = 0.012, d = 1.52). All patients received surgical treatment. 8 received postoperative chemotherapy. The median follow-up was 66 months (20–112 months). 1 patient relapsed within 36 months and received cytoreductive surgery. She survived without disease after recurrence treatment. Of 5 patients who performed fertility sparing surgeries with the desire of childbirth, 3 had full-term pregnancy and 1 experienced a miscarriage. Another one has not tried to conceive. Conclusion The prognosis of SLCTs is good. Our data showed patients with retiform pattern were more likely to exhibit endocrine function. The diameter of tumor was significantly bigger in no endocrine function. Conservative surgery is the preferred option for patients with the desire of fertility at stage Ia. Postoperative chemotherapy is advised to cases with high-risk factors, but the most effective chemotherapy regimen is still uncertain.
format article
author Guangning Wang
Ran Zhang
Chuan Li
Aiping Chen
author_facet Guangning Wang
Ran Zhang
Chuan Li
Aiping Chen
author_sort Guangning Wang
title Characteristics and outcomes analysis of ovarian Sertoli–Leydig cell tumors (SLCTs): analysis of 15 patients
title_short Characteristics and outcomes analysis of ovarian Sertoli–Leydig cell tumors (SLCTs): analysis of 15 patients
title_full Characteristics and outcomes analysis of ovarian Sertoli–Leydig cell tumors (SLCTs): analysis of 15 patients
title_fullStr Characteristics and outcomes analysis of ovarian Sertoli–Leydig cell tumors (SLCTs): analysis of 15 patients
title_full_unstemmed Characteristics and outcomes analysis of ovarian Sertoli–Leydig cell tumors (SLCTs): analysis of 15 patients
title_sort characteristics and outcomes analysis of ovarian sertoli–leydig cell tumors (slcts): analysis of 15 patients
publisher BMC
publishDate 2021
url https://doaj.org/article/a09404ccb7b349ab900dd3d24757549a
work_keys_str_mv AT guangningwang characteristicsandoutcomesanalysisofovariansertolileydigcelltumorsslctsanalysisof15patients
AT ranzhang characteristicsandoutcomesanalysisofovariansertolileydigcelltumorsslctsanalysisof15patients
AT chuanli characteristicsandoutcomesanalysisofovariansertolileydigcelltumorsslctsanalysisof15patients
AT aipingchen characteristicsandoutcomesanalysisofovariansertolileydigcelltumorsslctsanalysisof15patients
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