Hidden Behind PCOS: An Androgen-Secreting Ovarian Steroid Cell Tumor in a Young Woman
Year: 2026
Type: article
Study design: Case Report
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.
Language: English
Subfield: Reproductive Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7155691970
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