Sclerosing stromal tumor of the ovary
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Introduction
Ovarian sex cord tumors are relatively infrequent neoplasms that account for approximately 8% of all primary ovarian neoplasms. Sclerosing tumors account for 2% to 6% of ovarian tumors originating from stroma of ovary. Sclerosing stromal tumors were first described by Chalvardjian and Scully in 1973 and less than 100 cases have been described in literature.
More than 80% of sclerosing stromal tumors have been observed in young adults in the second and third decades of life. Sclerosing stromal tumors are usually hormonally inactive. If hormonally active, they are usually androgenic and occur most frequently during pregnancy. Menstrual irregularity and pelvic pain are the most frequent complaints during presentation.
We describe clinical findings and histopathological features of three cases of sclerosing stromal tumor of the ovary which we recently encountered at the Mahatma Gandhi Institute of Medical Sciences, Sevagram.


Case report
A 15-year-old girl presented with pelvic pain and menstrual irregularity of two years duration. Physical examination revealed a large palpable abdominopelvic mass. The patient had a history of sickle cell trait. Ultrasonographic examination revealed a right ovarian mass of 7×6×4 cm of variegated consistency with an irregular surface. On exploratory laparotomy, an irregular mass which was 8×5×3 cm in size was found. It was attached to the right ovary with single twist at its pedicle. The external surface was congested. The cut surface of the ovarian mass revealed solid, cystic and hemorrhagic areas. The left ovary was unremarkable....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4175603/
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