OVARIAN ARRHENOBLASTOMA - CASE REPORT

Abstract

Sertoli-Leydig cell tumors belong to the group of sex-cord stromal tumors of the ovary. They account for less than 0,5% of all ovarian neoplasms. The majority of these tumors are benign and almost all are localized unilaterally. Herewith, we describe an ovarian Sertoli- Leydig cell tumor (arrhenoblastoma) with virilization, in an 63-year-old woman. A left salpingo-oohorectomy (and hysterectomy) was performed. Macroscopically, the tumor was 10 x 8 x 6cm, incapsulated, yellow-white in color, both solid and pseudocystic. Microscopically, the tumor was well differentiated, composed from Sertoli-Leydig cells, mixed with theca cells, fibrocytes and collagen fibers. During the 4-year follow-up, there was neither clinical nor sonographical evidence of recurrence. The treatment of this pathological entity has to be individualized according to the patient’s age, stage the of tumor and degree of differentiation.

Keywords

• ovarian arrhenoblastoma
• clinical characteristics
• morphological characteristics