Sclerosing Stromal Tumor of Ovary - A Rare Ovarian Disease Presenting With Hyperandrogenism: A Case Report

Sclerosing stromal tumor is a rare benign tumor of ovary with the peak incidence during second and third decades of life. Pathologically, it is distinguished from other ovarian stromal tumors by the presence of plenty of collagen and a pseudo lobular pattern. The cellular areas are separated by edematous and collagenous strands. Majority of patients presents with menstrual irregularities, pelvic pain and abdominal lump. Though the tumors mostly do not produce hormones, both elevated estrogenic and androgenic hormone production has been documented in few cases. This high hormone levels and menstrual problem usually resolves after correcting surgery. No recurrence is often reported. In our case, the lady presented with amenorrhea, hirsuitism and a huge lower abdominal mass. Serum testosterone level was elevated, other hormonal levels were within normal limits.