1Associate Professor, Dept. of Obstetrics & Gynaecology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India
2Final Year MBBS, Dept. of Obstetrics & Gynaecology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India
3Professor and Head, Dept. of Obstetrics & Gynaecology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India
4Professor, Dept. of Obstetrics & Gynaecology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India
*Corresponding Author: Email: drsheela1960@gmail.com
Online published on 24 September, 2018.
‘Steroid cell tumors not otherwise specified (SCT-NOS)’ are rare sex cord-stromal tumors of the ovary with malignant potential, accounting for less than 0.1% of all ovarian tumors with the highest incidence in premenopausal women. These tumours represent a unique cause of female virilization. We present a case of a 48-year-old post-menopausal lady with bleeding per vagina and a 2-year history of truncal obesity and hirsutism. Past history was unremarkable. Examination revealed feature of obesity, virilization and clitoromegaly. Serum testosterone was 3.62 μg/L& CA-125 was 40.67. CECT gave the evidence of adnexal tumor, but histopathology confirmed SCT-NOS. Total abdominal hysterectomy(TAH) and bilateral salpingoophorectomy(BSO) was performed. Post-operative period was uneventful. This case is being reported for its rarity of occurrence and challenges faced in diagnosis of this case.
Virilization, Steroid cell tumour of the ovary, Not otherwise specified (NOS)
