Sertoli-leydig cell tumor of the ovary in a young female
Sertoli-Leydig cell tumor (SLCT) is a rare ovarian tumor that belongs to the group of sex-cord-stromal tumors. These constitute <0.5% of ovarian tumors. Most tumors are unilateral, confined to the ovaries, and are seen during the second and third decades of life.

These tumors are characterized by the presence of testicular structures that produce androgens. Hence, many patients have symptoms of virilization depending on the quantity of androgen production.

Published in the Saudi Journal of Medicine and Medical Sciences, the authors present a case of primary ovarian SLCT in a 21-year-old female, who presented with a 6-month history of a pelvic pain, acne, hirsutism, and oligomenorrhea with elevated testosterone and dehydroepiandrosterone levels. Ultrasound and contrast computed tomography revealed well-defined hyper vascular heterogeneous solid lesion in left adnexa.

Magnetic resonance imaging demonstrated ovarian origin of tumor, which turned out SLCT on histopathology. In this case, authors firther discuss multimodality imaging findings of SLCT and its management aspects with review of literature.

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