Microcystic stromal tumor of the ovary with mutation in exon 3 of β-catenin: a case report

Int J Gynecol Pathol. 2015 Mar;34(2):121-5. doi: 10.1097/PGP.0000000000000122.

Abstract

Microcystic stromal tumor of the ovary is a very rare ovarian tumor with distinctive microcystic histologic features and a characteristic immunophenotype of stromal tumor. However, its origin, tumor pathogenesis, and prognosis have not been well established until now. We report a very unusual case of a microcystic stromal tumor of the ovary with a mutation in exon 3 of the β-catenin (CTNNB1) gene. Macroscopically, the fragmented ovarian tumor showed a diffuse solid mass. Microscopically, the tumor had a pathognomonic histologic pattern of solid and cellular areas with microcysts and fibrous hyalinized stroma. Immunohistochemical staining with CD10, vimentin, CD99, and β-catenin showed positive expression. However, α-inhibin and E-cadherin showed negativity. Mutational analysis revealed a point mutation in exon 3 of the β-catenin (CTNNB1) gene.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • DNA Mutational Analysis
  • Exons
  • Female
  • Humans
  • Immunohistochemistry
  • Ovarian Neoplasms / genetics*
  • Ovarian Neoplasms / pathology*
  • Point Mutation*
  • beta Catenin / genetics*

Substances

  • CTNNB1 protein, human
  • beta Catenin