RESUMEN
BACKGROUND: Ovarian steroid cell tumors (SCTs), not otherwise specified (NOS), are rare, with few large studies. The purpose of this study was to analyze the clinical features, prognosis, and treatment choices for these patients of different age groups. METHODS: This was a retrospective study. We identified nine cases of ovarian steroid cell tumor, not otherwise specified, confirmed by post-operative histopathological examination, and analyzed clinical features, surgical procedures, and follow up outcomes. We also reviewed cases reports of ovarian steroid cell tumors, not otherwise specified. RESULTS: A total of nine cases were included. The age range was 9-68 years (mean, 41.89 ± 19.72 years). Clinical features included virilization, amenorrhea, abdominal pain, vaginal bleeding, isosexual precocious puberty, Cushing's syndrome, and abnormal weight gain with elevated testosterone levels. The follow up interval ranged 5-53 months and no recurrence was observed. CONCLUSION: Ovarian steroid cell tumors covered all age groups, with manifestations of androgen excess. Younger patients appeared to have a more favorable prognosis, which provided more opportunities for these patients to pursue treatment options that will preserve reproductive function.
Asunto(s)
Neoplasias Ováricas , Tumores de los Cordones Sexuales y Estroma de las Gónadas , Femenino , Humanos , Niño , Adolescente , Adulto Joven , Adulto , Persona de Mediana Edad , Anciano , Estudios Retrospectivos , Tumores de los Cordones Sexuales y Estroma de las Gónadas/patología , Neoplasias Ováricas/patología , Virilismo , EsteroidesRESUMEN
SPDEF, as a member of the ETS transcription factor family, was found to play important roles not only in some normal organs but also in some cancers. Scientists found that the significant increase of SPDEF in some cancers promotes tumor development, while some others found that the expression of SPDEF is lost in some cancers, and the loss of SPDEF is related to the proliferation, invasion, and metastasis. In this review, we summarized the function of SPDEF in normal tissues and its dual behaviors in different cancers, which may become a novel target in the diagnosis and therapy of cancers in the future. Besides, the multi-upstream regulatory mechanism of SPDEF plays different regulatory roles in different tumors, deserving further study. Moreover, there is one research, reporting that SPDEF plays a role in promoting mucus production during viral infection, and this may provide new ideas for future research about virus-associated cancer.
