Case Report
Year: 2020 | Month: May | Volume: 10 | Issue: 5 | Pages: 135-139
Huge Ovarian Sertoli-Leydig Cell Tumor- A Rare Presentation Mimicking Advanced Ovarian Carcinoma: A Clinical Diagnostic Pitfall
Ikeanyi M Eugene1, Udoye P Ezenwa2, Jeremiah Israel1
1Department of Obstetrics and Gynecology, Niger Delta University Teaching Hospital, Okolobiri Bayelsa State Nigeria
2Department of Pathology, Niger Delta University Teaching Hospital, Okolobiri Bayelsa State Nigeria
Corresponding Author: Ikeanyi M Eugene
ABSTRACT
Sertoli-Leydig cell tumor is a very rare ovarian tumor constituting less than 0.5% of all primary ovarian tumors. It mostly occurs in second and third decades of life.
This is a case report of a rare presentation of a huge ovarian Sertoli-Leydig cell tumor presenting like an advanced ovarian cancer in a 62 year old seven years postmenopausal para eight woman. At surgery was a left well encapsulated multilobulated ovarian tumour measuring 28 x28x14cm, weighing 6.2kg and histologically containing clusters of Leydig cells and solid cords of Sertoli cells of intermediate differentiation. The patient presented with a year history of progressive abdominal swelling and irregular vaginal bleeding. She had total abdominal hysterectomy and bilateral salpingo-oophorectomy. About a year on follow-up and stable.
Key words: Sertoli-Leydig cell, sex cord, stromal, ovarian, tumor, postmenopausal, neoplasm