Steroid cell tumour of the ovary: a case report
The present article has been published in the International Journal of Reproduction, Contraception, Obstetrics and Gynecology.

A 31-year-old woman presented with complaints of lower abdominal pain for one week, associated with two years of oligomenorrhea followed by four months of amenorrhea. She also gave history of secondary infertility for past 5 years. The patient revealed signs of virilisation such as frontal recession of hairline, temporal baldness and facial hair.

Ultrasonogram (USG) scan abdomen showed hypoechoic mass lesion measuring 2.9x3 cm in the right ovary with profuse vascularity within and the remnant of normal ovary measured 3.7x2.4 cm. The radiological diagnosis of malignant ovarian tumour was given.

CT abdomen revealed a well-defined irregular cystic space occupying lesion with evidence of peripheral soft tissue density nodule seen in the right ovary measuring 6x4x3 cm. The enhancing round nodule measured 2.4x3x2.4 cm and diagnosis of cystadenoma nature was rendered. Serum tumour marker levels were within the normal range.

Laparotomy was performed under general anesthesia and was proceeded to right salphingo-oophorectomy. Right ovary showed a well encapsulated cystic mass measuring 3.5x4 cm. The specimen was sent for frozen section which demonstrated features suggestive of steroid cell tumour of ovary. In view of fertility issues, the procedure was ended with right salphigo-oophorectomy. Figure 2: C/S of ovary shows a well-defined orange yellow mass.

Microscopically, the tumour revealed a neoplasm arranged in sheets composed of round to polygonal cells with clear vacuolated cytoplasm and centrally placed nuclei. There was no atypia, mitosis nor necrosis. Delicate fibrovascular septa was seen in between the cell clusters. The surrounding parenchyma revealed stromal hyperplasia. Peritoneal aspirate fluid was negative for malignant cells.

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Dr. A●●●●●●●a S●●●i and 3 others like this
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Dr. S●●●●●v S●●●●●1
Dr. S●●●●●v S●●●●●1 Obstetrics and Gynaecology
In view of the size of the tumour, presenting symptoms and diagnostic modalities and frozen section the patient can be considered lucky enough
Aug 24, 2018Like1