International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 5, Issue 4 | Case Report | Open Access DOI

Hidden Behind PCOS: An Androgen-Secreting Ovarian Steroid Cell Tumor in a Young Woman

Shalini Mishra*

Shalini Mishra1*, Gajanan G.Patil2, Ajinkya Patil2

1T.S.Misra Medical College and Hospital, Lucknow, U.P, India

2Kewal Hospital and Kewal Laparoscopy Training Centre

*Correspondence to: Shalini Mishra 

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Abstract

Ovarian steroid cell tumors are rare sex-cord stromal tumors, representing less than 0.1% of all ovarian tumors. They frequently produce steroid hormones and present with endocrine manifestations such as hirsutism, virilization, and menstrual irregularities. We report a case of a 21-year-old unmarried woman presenting with irregular menses and clinical hyper-androgenism. Imaging revealed a right ovarian mass, and serum testosterone was markedly elevated. Laparoscopic cystectomy was performed, and histopathological evaluation confirmed a steroid cell tumor, not otherwise specified (SCT-NOS). The patient recovered uneventfully and was discharged on postoperative day three. This case highlights the importance of considering androgen-secreting ovarian tumors in young women presenting with virilization and elevated testosterone levels predominantly in cases of PCOS.

Keywords:

Steroid cell tumor, ovarian tumor, Hyper-androgenism, Virilization, Sex cord stromal tumor

Citation:

Shalini Mishra, Gajanan G.Patil, Ajinkya Patil. Hidden Behind PCOS: An Androgen-Secreting Ovarian Steroid Cell Tumor in a Young Woman. Int Clinc Med Case Rep Jour. 2026;5(4):1-6.