scholarly journals Ovarian steroid cell tumor, not otherwise specified: A rare case of postmenopausal vaginal bleeding

2014 ◽  
Vol 8 (3) ◽  
pp. 1187-1189 ◽  
Author(s):  
JING WAN ◽  
XIAOWEI CHEN ◽  
XIAOMAO LI
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sawsan Ismail ◽  
Munawar Hraib ◽  
Rana Issa ◽  
Thanaa Alassi ◽  
Zuheir Alshehabi

Abstract Background Ovarian steroid cell tumors represent a rare category of sex cord-stromal tumors that constitute less than 0.1% of all ovarian tumors. These neoplasms are classified into three main subtypes according to the cell of origin: Leidyg cell tumors, stromal luteomas, and steroid cell tumors not otherwise specified (SCTs-NOS). The latter subtype is defined as a neoplasm of an uncertain lineage that mostly affects middle-aged women, whereas it’s rare in younger ages. Case presentation We report a case of a 21-year-old virgin female who presented to our hospital with complaints of mild abdominal pain, hirsutism, and oligomenorrhea for more than a year. Before her current admission, the patient had attended an external gynecologic clinic where she had been prescribed oral contraceptives to regulate her periods. Nevertheless, on presentation to our institution, physical examination revealed abdominal tenderness with a palpable pelvic mass and mild hirsutism in the thigh. Ultrasonography demonstrated a large left ovarian mass measuring 154 × 104 mm, and compressing the uterus. Therefore, a unilateral salpingo-oophorectomy was performed, and interestingly, pathologic examination of the large aforementioned mass alongside with immunohistochemical correlation revealed the diagnosis of a large ovarian steroid cell tumor-not otherwise specified with a unique combination of benign and malignant features. Conclusions Although ovarian steroid cell tumors represent a rare category, they must be considered in the differential diagnosis for mild virilization symptoms in young females due to the importance of early diagnosis and management. In this manuscript, we aimed to present the first case report from Syria that highlights the crucial role of detailed morphological examination for challenging cases despite the difficulties in differential diagnosis, and the absence of ancillary techniques. Furthermore, we managed to discuss a brief review of diagnostic methods, histological characteristics, and treatment recommendations.


2014 ◽  
Vol 41 (3) ◽  
pp. 424-431 ◽  
Author(s):  
Saroona Haroon ◽  
Romana Idrees ◽  
Saira Fatima ◽  
Aisha Memon ◽  
Naila Kayani

2005 ◽  
Vol 11 (5) ◽  
pp. 346-349 ◽  
Author(s):  
Ambika Ashraf ◽  
Hussein Abdul-Latif ◽  
William Hardin ◽  
David B. Kelly

2014 ◽  
Author(s):  
Raquel Espirito-Santo ◽  
Teresa Sabino ◽  
Tania Almeida ◽  
Antonio Figueiredo ◽  
Ana Pena ◽  
...  

2014 ◽  
Vol 40 (9) ◽  
pp. 2081-2085 ◽  
Author(s):  
Mika Mizoguchi ◽  
Sawako Minami ◽  
Madoka Yamamoto ◽  
Yuko Tanizaki ◽  
Aya Kobayashi ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Miry Lobaton ◽  
Luz M Malanco ◽  
Liliana Trejo

Abstract Background: Ovarian tumors are divided into non functioning and functioning, within the last group, we can find those with endocrine activity that produce androgenization. Ovarian cell tumors, not otherwise specified (SCT-NOS) is a rare type of ovarian sex cordomal tumor and represents the 60% of this tumors, which compromise less than 0.1% of the ovarian tumors. (1) Clinical Case: We here present a 28 year old woman who was referred to the Endocrine Clinic due to secondary amenorrhea and virilization signs. At the age of twelve a diagnosis of polycystic ovarian syndrome (POS) was made and treated with combined oral anticonceptive (COA). Menses became regular only with medication. Six months after she stopped medication, amenorrhea and virilization signs worsened. Biochemically she had levels of serum total testosterone 6.8 ng/mL (0.02-0.45) and free testosterone 42 pg/mL (0.1-6.4) since only pelvic ultrasonography has been made by physician, a transvaginal ultrasound and abdomen – pelvic CT scan showed a anexial tumor. After analysis of biochemical and imaging results a multidisciplinary team performed a surgical extirpation of the primary lesion, which was diagnosed by histopathology as a tumor of lipoidic cells NOS. A month after the surgery, menses became regular. Conclusion: The purpose of this article is to present the available information about this kind of tumors and the treatment recommended. It is mandatory to follow a correct approach among a multidisciplinary team, in order to get the correct diagnosis at the proper time. (1) Zang L, Ye M, Yang G, Li J, Liu M, Du J et al. Accessory ovarian steroid cell tumor producing testosterone and cortisol. Medicine. 2017;96(37):e7998.


2007 ◽  
Vol 23 (2) ◽  
pp. 69-71 ◽  
Author(s):  
Horng-Jyh Tsai ◽  
Shu-Chen Chen ◽  
Hsiao-Yun Wei ◽  
Gin-Den Chen

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