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Ovarian Sertoli-Leydig cell tumor with coexisting vaginal angiomyxoma: Case report and review of the literature
11st Department of Obstetrics and Gynaecology, Aristotle University of Thessaloniki, Hippokrateio General Hospital, Greece
2Department of Pathology, Hippokrateio General Hospital, Thessaloniki, Greece
*Corresponding Author(s): M. Zafrakas E-mail:
An extremely rare case of a postmenopausal patient with an ovarian Sertoli-Leydig cell tumour and a coexistent vaginal angiomyxoma is reported. A 71-year-old patient was admitted complaining of abdominal distension. A thorough diagnostic evaluation revealed a large tumour of the right ovary, and an oval-shaped greyish-white polypoid vaginal lesion. Total hysterectomy with bilateral salpingooophorectomy and lymph node sampling was performed, followed by excision of the vaginal lesion. Histological examination showed a Sertoli-Leydig cell tumour of the right ovary, and a vaginal angiomyxoma. Twenty-six months after the operation the patient is well with no signs of recurrence. To the best of our knowledge, no case of coexistence of an ovarian Sertoli-Leydig cell tumour with a myxoma has been previously reported.
Sertoli-Leydig cell tumour; Vaginal angiomyxoma; Carney complex
P. Tampakoudis,M. Zafrakas,E. Kostopoulou,K. Dragoumis,T. Tsalikis,J. Bontis. Ovarian Sertoli-Leydig cell tumor with coexisting vaginal angiomyxoma: Case report and review of the literature. European Journal of Gynaecological Oncology. 2004. 25(1);116-118.
[1] Segal R., DePetrillo A.O., Thomas G.: "Clinical review of adult granulosa cell tumors of the ovary". Gynecol. Oncol., 1995, 56, 338.
[2] Roth L., Anderson M.C., Govan A.D.T., Langley F.A., Gowing N.F.C., Woodcock A.S.: "Sertoli-Leydig cell tumours. A clinicopathological study of 34 cases". Cancer, 1981, 48, 187.
[3] Young R., Scully R.: "Ovarian Sertoli-Leydig cell tumors. A clinicopathological study of 207 cases". Am. J. Surg. Pathol., 1985, 9, 543.
[4] Gershenson D.M.: "Management of early ovarian cancer: Germ cell and sex cord-stromal tumours". Gynecol. Oncol., 1994, 55, S62.
[5] Ayhan A., Tuncer Z.S., Hakverdi A.U., Yuce K., Ayhan A, "Sertoli-Leydig cell tumour of the ovary: a clinicopathological study of IO cases". Eu,: J. Gynecol. Oncol., 1996, 17 (1), 75.
[6] Latthe P., Shafi M.I., Rollason T.P.: "Recurrence of Sertoli-Leydig cell tumour in contralateral ovary. Case report and review of the literature". Eur. J. Gynecol. Oneal., 2000, 21 (1), 62.
[7] Motoyama T., Watanabe H., Gotoh A., Takeuchi S., Tanabe N., Nashimoto I.: "Ovarian Sertoli-Leydig cell tumour with elevated serum alpha-fetoprotein". Cancer, 1989, 63, 2047.
[8] Hillemanns P., Kimmig R., Arnholdt H.: "Conservative management of Sertoli-Leydig cell tumor of the ovary". Acta Obstet. Gynecol. Scand., 1997, 76, 604.
[9] Chan I.M., Hon E., Ngai S.W., Ng T.Y., Wong L.C.: "Aggressive angiomyxoma in females: is radical resection the only option?". Acta Obstet. Gynecol. Scand., 2000, 79, 216.
[10] Petsch J.F., Laskin W.B., Lefkowitz M., Kindblom L.-G., MeisKindblom J.M.: "Aggressive angiomyxoma. A clinicopathological study of 29 female patients". Cancer, 1996, 78, 79.
[11] Mascarenhas L., Knaggs J., Clark J., Eliot B.: "Aggressive angiomyxoma of the female pelvis and perineum: Case report and literature review". Am. J. Obstet. Gynecol., 1993, 169, 555.
[12] Golbang P., Khan A., Scurry J., Mcisaac I., Planner R.: "Cervical sarcoma botryoides and ovarian Sertoli-Leydig cell tumor". Gynecol. Oneal., 1997, 67, 102.
[13] Zaloudek C., Norris H.J.: "Sertoli-Leydig tumors of the ovary. A clinicopathologic study of 64 intermediate and poorly differentiated neoplasms". Am. J. Surg. Pathol., 1984, 8, 405.
[14] Carney J.A.: "Carney complex: the complex of myxomas, spotty pigmentation, endocrine overactivity, and schwannomas". Semin. Dermatol., 1995, 14 (2), 90.
[15] Stratakis C.A., Carney J.A., Lin J.-P., Papanicolaou D.A., Karl M., Kastner D.L. et al.: "Carney complex, a familial multiple neoplasia and lentigosis syndrome. Analysis of 11 kindreds and linkage to the short arm of chromosome 2". J. Clin. [west., 1996, 97 (3), 699.
[16] Stratakis C.A., Kirschner L.S., Taymans S.E., Tomlinson I.P.M., Marsh D.J., Torpy D.J. et al.: "Carney complex, Peutz-Jeghers syndrome, Cowden disease, and Bannayan-Zonana syndrome share cutaneous and endocrine manifestations, but not geneticloci". J. Clin. Endocrinol. Metabol., 1998, 83 (8), 2972.
[17] Stratakis C.A., Papageorgiou T., Premkumar A., Pack S., Kirschner L.S., Taymans S.E et al.: "Ovarian lesions in Carney complex: Clinical genetics and possible predisposition to malignancy". J. Clin. Endocrinol. Metab., 2000, 85, 4359.
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