Steroid Cell Tumor of the Ovary in an Adolescent: A Rare Case Report

January 2013 in “ Case Reports in Medicine ”

Gokhan Boyraz, Ilker Selcuk, Zarife Yusifli, Alp Usubutun, Serdar Günalp, Gokhan Boyraz, Ilker Selcuk, Zarife Yusifli, Alp Usubutun, Serdar Günalp

steroid cell tumor androgenic symptoms hirsutism hair loss amenorrhea virilization testosterone ovarian mass immunohistochemical testing androgen excess SCT androgen symptoms excess male hormones

TLDR Steroid cell tumors in the ovary are rare, can cause hormone-related symptoms, and require surgery.

Steroid cell tumors (SCTs) of the ovary are rare, accounting for less than 0.1% of all ovarian tumors, and can produce androgenic symptoms such as hirsutism, hair loss, and amenorrhea. This case report described a 16-year-old girl with a unilateral, benign SCT presenting with rapid onset of virilization symptoms over 6 months. Her testosterone levels were elevated, and imaging revealed a 6 cm ovarian mass. Surgical excision of the tumor led to regression of symptoms within 4 months. The case highlighted the importance of considering SCTs in young women with sudden androgen excess and the role of immunohistochemical testing in diagnosis. Despite the benign nature of most SCTs, pathologic evaluation is crucial due to the risk of malignancy.

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