A rare ovarian Leydig cell tumour masquerading as postmenopausal bleeding: a case report
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20251604Keywords:
Sertoli-Leydig cell tumors, Postmenopausal bleeding, Endometrial hyperplasia, VirilizationAbstract
Ovarian Sertoli-Leydig cell tumors (SLCTs) are rare ones, accounting for less than 0.2% of ovarian malignancies. While typically associated with virilization, they can present atypically with postmenopausal bleeding. We report a 72-year-old postmenopausal woman with post-menopausal bleeding. The diagnosis was endometrial hyperplasia. The patient, with a history of diabetes, hypertension, and dyslipidemia, had postmenopausal bleeding lasting five days without features of virilization. Ultrasonography showed a bulky uterus with a fibroid, adenomyoma, and thickened endometrium. Endometrial sampling revealed focal hyperplasia without atypia. Despite progestin therapy, she had recurrent vaginal bleeding. Hence decision for surgical management was sought. Histopathology confirmed a 1 cm Leydig cell tumour in the right ovary, with no significant findings in the left ovary or tubes.
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