Gynäkologie und Geburtshilfe
Offener Zugang

Abstrakt

Ovarian Steroid Cell Tumor Associated to Endometrial Hyperplasia and Presenting as Postmenopausal Vaginal Bleeding

Cristina del Valle Rubido, Jesus Lazaro-Carrasco de la Fuente, Concepcion Sanchez Martinez, Lucia Nebreda Calvo and Manuel Repolles Escarda

Background: Ovarian Steroid cell tumor is a subtype of sex-cord stromal tumor which is very infrequent. It is usually benign and unilateral and causes hyperandrogenism and virilization.

Case report: A 57-year-old woman that presented with postmenopausal bleeding associated to atypical endometrial hyperplasia underwent total hysterectomy and bilateral oophorectomy and was diagnosed of Steroid Cell Tumor of the Ovary.

Discussion: Surgical treatment is mandatory and it ranges from unilateral oophorectomy to complete staging surgery. Adjuvant treatment is not usually required. Prognosis is good in most cases. Risk factors depend on histological examination of the tissue.

Conclusion: Steroid Cell Tumors of the ovary do not always present with hyperandrogenism and virilization. Atypical presentations as our patient´s must be taken into account for differential diagnosis of abnormal uterine bleeding in postmenopausal women.