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Table 4 Clinical features, treatments, and outcomes of recurred or progressed cases

From: Ovarian steroid cell tumors, not otherwise specified: analysis of nine cases with a literature review

Case

Age

(years)

Clinical features

Second therapy

Outcome

(months)†

13

21

Virilization, amenorrhea, ascites, acanthosis nigricans, initial surgery delayed 4 years

PVB×4

Continued and died (10)

17

22

Virilization, amenorrhea, with hereditary leiomyomatosis and renal cell carcinoma syndrome

RSO, RPLND

Not mentioned

21

28

Virilization, Cushing’s syndrome, hypertension, irregular menstruation

Metastatic lesions resection

Recurred (12), died (16)

24

29

Lower back and leg pain, normal reproductive hormone

Not mentioned

Died (6)

38

46

Ascites

Metastatic lesions resection, BEP

Tumor free (9)

42

50

Virilization

BEP×3, TP×8, chemotherapy invalid, GnRHa

No symptom (22 after first GnRHa)

44

51

Lower abdominal pain, vaginal spotting, anorexia

Not mentioned

Died

51

58

Virilization, pelvic discomfort

Increased dose of GnRHa

Not mentioned

50

65

Virilization, abdominal pain, ascites, bilateral lower limb edema

BEP×3

Continued (18), lost to follow up

56

93

Virilization, abdominal pain, bilateral lower limb edema, aggressive and violent behavior

GnRHa & weekly paclitaxel for 1 month

Refused therapies and progressed

  1. †The interval time after recurrence or progress; PVB: cisplatin + vincristine + bleomycin; BEP: bleomycin + etoposide + cisplatin; TP: paclitaxel + carboplatin; RSO: right salpingo-oophorectomy; RPLND: right pelvic lymph node dissection