Case Report
Year: 2014 | Month: January | Volume: 4 | Issue: 1 | Pages: 192-197
Ovarian Sex Cord Stromal Tumor with Annular Tubules - A Case Report & Review of Literature
Archana S. Bembde1, Irmeen Manzoor2*, Shweta Somani3, Smita S Mulay4
1Lecturer, 2Senior Resident, 3Junior Resident, 4Head of Department,
Department of Pathology, MGM Medical College & Hospital, Aurangabad, Maharashtra, India.
*Corresponding Author: Irmeen Manzoor
ABSTRACT
Ovarian sex cord stromal tumor with annular tubules (SCTAT) is a distinctive, rare subtype of sex cord stromal tumor of the ovary, predominant component of which has morphological features intermediate between that of granulosa cell and sertoli cell. The majority of ovarian SCTAT are benign. So far, malignant behavior in SCTAT has been reported only in sporadic cases. We have presented a case of SCTAT in a 45 year old lady (P3A1) with no association of Peutz-Jegher (P-J) syndrome. The patients chief complaints were post-menopausal bleeding since 1 year on and off along with menorrhagia. History of amenorrhea five years back followed by heavy bleeding. Dilatation and curettage was done and bleeding was relieved. Thyroid profile showed features of hypothyroidism (TSH=20 uIU/ml). USG findings showed antiverted bulky uterus with cystic endometrial hyperplasia. MRI abdomen was suggestive of intensely enhancing solid tissue mass lesion in the left adnexa, features suggestive of ovarian mass. Panhysterectomy was done. Grossly uterus and right adnexa appeared to be normal. Left ovary enlarged, measuring 8x5x4cms with attached fallopian tube. Cut section yellowish, lobulated, homogenous, solid with no cystic areas. Microscopy revealed sex cord stromal tumor with annular tubules of granulosa cell type. PAS stain supported the diagnosis.
Key words:SCTAT, sex cord stromal tumors, annular tubules, ovarian tumors.