Massive ascites as the primary clinical presentation in a postmenopausal woman with malignant ovarian steroid cell tumor, NOS [18 month follow up]

ABSTRACT

Steroid cell tumors, not otherwise specified [NOS] are rare, usually benign, ovarian sex Cord stromal tumors of the ovary presenting with virulization in middle age women [Average age 43]. Rarely, these tumors occur in postmenopausal women and, even More rarely, show a malignant clinical behavior. Although excess androgen secretion with Virulization is usually the primary presenting symptoms, rarely patients with this tumour may Present primarily with ascites. A case of a 65-year-old woman with malignant steroid cell Tumor who primarily presented with [sudden onset of] massive ascites is reported. Aspects of presentation, pathologic findings and management are presented