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A case of ovarian endometrioid adenofibroma of borderline malignancy: Evidence for estrogen-producing tumor

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Abstract

A case of ovarian endometrioid adenofibroma of borderline malignancy with an increased serum estradiol level, which rapidly disappeared after removal of the tumor, is reported. Vaginal cytologic analysis showed estrogenic effects, and endometrial cystic glandular hyperplasia was thought to be the reason for genital bleeding. To determine the origin of estradiol production in the tumor, stromal cells were enzymatically isolated from the tumor and cultured in vitro. Estradiol levels in the cultured media increased in parallel with cell growth. This is the first report showing estrogen secretion from stromal cells in an ovarian endometrioid adenofibroma.

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References

  1. Bell DA, Scully, RE. Atypical and borderline endometrioid adenofibromas of the ovary. A report of 27 cases. Am J Surg Pathol 1985;9:205–214.

    PubMed  CAS  Google Scholar 

  2. Gaing AA, Kimble CC, Belmonte AH, Agustin E, Tchertkoff V. Invasive ovarian endometrioid adenofibroma with omental implants and collision with endometrial adenocarcinoma. Obstet Gynecol 1988;71:440–444.

    PubMed  CAS  Google Scholar 

  3. Kao GG, Norris HJ. Unusual cystadenofibromas: endometrioid, mucinous, and clear cell types. Obstet Gynecol 1979;54:729–736.

    PubMed  CAS  Google Scholar 

  4. Moore DH, Fowler WC, Santrach PJ. Malignant endometrioid cystadenofibrom of the ovary. Arch Gynecol Obstet 1991;249:153–156.

    Article  PubMed  CAS  Google Scholar 

  5. Norris HJ. Proliferative endometrioid tumors and endometrioid tumors of low malignant potential of the ovary. Int J Gynecol Pathol 1993;12:134–140.

    PubMed  CAS  Google Scholar 

  6. Piyra B, Goldstein J, Yanai I. Ovarian endometrioid carcinoma with an adenofibromatous pattern. Int J Tissue React 1986;8:249–254.

    Google Scholar 

  7. Roth LM, Czernobilsky B, Langley FA. Ovarian endometrioid adenofibromatous and cystadenofibromatous tumors: Benign, proliferating, and malignant. Cancer 1981; 48:1838–1845.

    Article  PubMed  CAS  Google Scholar 

  8. Soully RE. Tumors of the ovary and undeveloped gonads. In: Atlas of tumor pathology. 2nd ser., fasc. 16. Armed Forces Institute of Pathology, Washington DC, 1980.

    Google Scholar 

  9. Snyder RR, Norris HJ, Tavassoli F. Endometrioid proliferative and low malignant potential tumors of the ovary. Am J Surg Pathol 1988;12:661–671.

    Article  PubMed  CAS  Google Scholar 

  10. Tohya T, Mizutani H, Katabuchi H, Miyazaki K, Okamura H. Mucinous adenofibroma of the ovary: case report of the endocrinologic findings. Gynecol Oncol 1994;54:218–221.

    Article  PubMed  CAS  Google Scholar 

  11. Abu-Jawdeh GM, Jacobs TW, Niloff J, Cannistra SA. Estrogen receptor expression is a common feature of ovarian borderline tumors. Gynecol Oncol 1996;60:301–307.

    Article  PubMed  CAS  Google Scholar 

  12. Langdon SP, Crew AJ, Ritchie AA, Muir M, Wakeling A, Smyth JF, Miller WR. Growth inhibition of oestrogen receptor-positive human ovarian carcinoma by anti-oestrogens in vitro and in a xenograft model. Eur J Cancer 1994;30A:682–686.

    Article  PubMed  CAS  Google Scholar 

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Miyagi, E., Hirahara, F., Inayama, Y. et al. A case of ovarian endometrioid adenofibroma of borderline malignancy: Evidence for estrogen-producing tumor. Int J Clin Oncol 3, 41–43 (1998). https://doi.org/10.1007/BF02490101

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  • DOI: https://doi.org/10.1007/BF02490101

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