Journal of Mid-life Health

CASE REPORT
Year
: 2021  |  Volume : 12  |  Issue : 1  |  Page : 82--84

Steroid cell tumor of the ovary presenting with ascites: A rare neoplasm in a postmenopausal woman


Pavani Velamala1, Parikshaa Gupta1, Pooja Sikka2, Divyesh Kumar3, Arvind Rajwanshi1 
1 Department of Cytology and Gynecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Obstetrics and Gynecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
3 Department of Radiotherapy, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Parikshaa Gupta
Department of Cytology and Gynecological Pathology, Research 'A' Block, PGIMER, Sector 12, Chandigarh - 160 012
India

Steroid cell tumors of the ovary are rare sex-cord stromal tumors, accounting for approximately 0.1% of all ovarian neoplasms. Majority of these tumors are benign, occur in pre-menopausal women and are associated with hyperandrogenism. However, around one-third of cases are malignant and do not present with hormonal manifestations. A 48-year-old post-menopausal woman presented with complaints of gradually increasing progressive abdominal distension over the past 3 months. She had a history of weight gain but denied any symptoms of virilization. On examination, abdominal distension associated with ascites was noted. Serum CA125 level was raised. Contrast-enhanced computed tomography revealed a solid right adnexal mass. Based on the clinical impression of epithelial ovarian malignancy, the patient underwent a total abdominal hysterectomy with bilateral salpingo-oophorectomy and infracolic omentectomy. Histopathological examination revealed steroid cell tumor of the not otherwise specified type in the right ovary with the capsular breach. However, all other organs, including the omentum were free of tumor. The index case is unique for its presentation in a post-menopausal woman, association with ascites, elevated CA125 levels and lack of any virilization manifestations. Establishing an early and accurate tissue diagnosis is essential so that appropriate surgical management can be done to prevent the development of metastases in potentially malignant cases.


How to cite this article:
Velamala P, Gupta P, Sikka P, Kumar D, Rajwanshi A. Steroid cell tumor of the ovary presenting with ascites: A rare neoplasm in a postmenopausal woman.J Mid-life Health 2021;12:82-84


How to cite this URL:
Velamala P, Gupta P, Sikka P, Kumar D, Rajwanshi A. Steroid cell tumor of the ovary presenting with ascites: A rare neoplasm in a postmenopausal woman. J Mid-life Health [serial online] 2021 [cited 2021 Oct 24 ];12:82-84
Available from: https://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2021;volume=12;issue=1;spage=82;epage=84;aulast=Velamala;type=0