Table 1

Clinical and pathological features of five patients with UTROSCT

Case 1Case 2Case 3Case 4Case 5
AgeEarly 50sEarly 60sEarly 60sNearly 40 yearsNearly 40 years
SymptomsIrregular vaginal bleeding in the past 2 yearsMenopause for 10 years and irregular vaginal bleeding 4 months earlierMenopause for 22 years, irregular vaginal bleeding 14 days before admissionIncreased menstrual bleeding and with the menstrual period extending for half a yearIncreased menstrual bleeding for more than 3 months
Ultrasonic examinationHypoechoic area on the posterior wall of the uterus with protrusion into the uterine cavityHypoechoic protrusion on right uterine wall with clear boundaryNot availableHypoechoic intrauterine nodulesConsider endometrial polyps
GeneralIntramural nodules protruding into the uterine cavity, 4.5 cm in diameterIntrauterine polypoid masses, 5 cm in diameterIntramural nodules with polypoid bulging of the uterine cavity, 4 cm in diameterSubmucosal elevation, 3 cm in diameter (fragment tissue)Polypoid masses, 1.5 cm in diameter
Surgical approachHysterectomy and bilateral adnexectomyHysterectomy and bilateral adnexectomyHysterectomy and bilateral adnexectomyElectrical resectionHysterectomy and bilateral adnexectomy
Muscular invasionTonguelike infiltrationFocal infiltrationFocal infiltrationFocal infiltrationFocal infiltration
Mitotic count (/10 HPF)21100
ComorbiditiesNoneLeiomyomaLeiomyomaEndometrial polypsMultiple endometrial polyps
Medical historyNoneLeiomyoma resection 20 years agoDiabetes, taking metforminNoneNone
  • HPF, high-power field; UTROSCT, tumours resembling ovarian sex cord tumour.