Patil Vijayalaxmi S, VemiReddy Poojitha Ram, Taqdees Afra, Arakeri Surekha U
Department of Pathology, BLDE (DU) Shri B. M. Patil Medical College, Hospital and Research Centre, Vijayapura, Karnataka, India.
Int J Appl Basic Med Res. 2019 Jul-Sep;9(3):185-187. doi: 10.4103/ijabmr.IJABMR_299_18.
Steroid cell tumors of the ovary are extremely rare, accounting for only 0.1% of all ovarian tumors. Most steroid cell tumors secrete steroid hormones, and only about 10%-15% of patients are asymptomatic. The clinical presentation may take many forms, including abdominal pain, distention, irregular menstrual cycles, and hirsutism. Here, we present a case of a 60-year-old postmenopausal patient who presented with complaints of bleeding per vagina and abdominal pain for 4 months. Ultrasonography (USG) revealed a hypoechoic left adnexal mass measuring 65 mm × 40 mm × 30 mm. Based on these USG findings, the diagnosis of cystic lesion of the left ovary was made. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was done, and the specimen was sent for histopathological analysis. On histopathology, diagnosis of steroid cell tumor-not otherwise specified was offered. This case is reported due to its rarity and its unusual presentation, together with a brief review of the literature of the same.
卵巢类固醇细胞瘤极为罕见，仅占所有卵巢肿瘤的0.1%。大多数类固醇细胞瘤分泌类固醇激素，只有约10%-15%的患者无症状。临床表现形式多样，包括腹痛、腹胀、月经周期不规律和多毛症。在此，我们报告一例60岁绝经后患者，主诉阴道出血和腹痛4个月。超声检查（USG）显示左附件区有一低回声肿块，大小为65 mm×40 mm×30 mm。根据这些USG检查结果，诊断为左卵巢囊性病变。行全腹子宫切除术及双侧输卵管卵巢切除术，并将标本送去做组织病理学分析。组织病理学检查诊断为未另行特指的类固醇细胞瘤。报道此病例是因其罕见性、不寻常的表现以及对相关文献的简要回顾。
