By Dr. Jannat Asif
Abstract:
Our patient presented to us with features commonly associated
with epithelial ovarian malignancy. History revealed that
patient had secondary amenorrhea, hirsutism and increased
body mass index (BMI). On examination, she had a huge
palpable abdominal mass along with gross ascites. Suspicious
features were observed on CT scan of abdomen and pelvis i.e.
complex ovarian cyst, abdominopelvic ascites along with
omental stranding. Ca-125 was significantly elevated.
Considering these features, patient was operated. Total
abdominal hysterectomy, bilateral salpingo-oophorectomy and
infracolic omentectomy was done. Histopathology turned out
to be benign i.e. steroid cell tumor of ovary. Soon after surgery,
Ca-125 was reduced to normal value. Pre-operative hormone
levels should have been done to get a hint of this secretory
(benign) ovarian tumor.
Keywords:
Sex cord gonadal stromal tumor, Hyperandrogenism,
Immunohistochemistry, Case Report
Source of Funding:
This case report has not received any specific grant from any
funding agency in the public, commercial, or not-for-profit
sectors.
Competing Interest:
The authors declare that they have no competing interests.
Informed Consent:
Patient has given written informed consent for publication of
this case report and figures attached in it.