TY - JOUR
T1 - Sertoli-Leydig cell tumor with unique nail findings in a post-menopausal woman
T2 - A case report and literature review
AU - Moghazy, Dalia
AU - Sharan, Chakradhari
AU - Nair, Malika
AU - Rackauskas, Cassandra
AU - Burnette, Robert
AU - Diamond, Michael
AU - Al-Hendy, Omar
AU - Al-Hendy, Ayman
N1 - Publisher Copyright:
© 2014 Moghazy et al.; licensee BioMed Central Ltd.
PY - 2014/8/28
Y1 - 2014/8/28
N2 - Background: Sertoli-Leydig cell tumor (SLCT) is a rare sex-cord tumor that usually occurs unilaterally and accounts for < 0.5% of all ovarian tumors. SLCT is uncommon in post-menopausal women, with the average age of diagnosis being 25 years.Case. We present a case of a 63-year-old post-menopausal woman presenting with progressive hirsutism, and male-pattern baldness. Unusual nail changes were also observed.Methods. Hormonal profile of the patient revealed increased testosterone and estradiol levels, and a 3.5 cm left ovarian mass. The patient was evaluated and was not found to be anemic or iron-deficient. Intraoperative frozen section assessment during laparoscopic exploration revealed SLCT, which was confirmed subsequently by histopathological and immunohistochemical (IHC) examination. Nail bed tissues were collected from normal females and evaluated by IHC for the presence of androgen receptors (AR).Results: The patient had an excellent postoperative course and all her testosterone-related manifestations were reversed within one year of surgery. Following surgery, the patient's unique nail abnormalities also resolved gradually. The IHC evaluation also confirmed the presence of AR in nail bed tissues of females.Conclusion: SLCT, albeit rare, should be considered in post-menopausal women presenting with virilization and elevated androgen levels. Unusual nail signs may develop in response to increased androgen levels in these patients.
AB - Background: Sertoli-Leydig cell tumor (SLCT) is a rare sex-cord tumor that usually occurs unilaterally and accounts for < 0.5% of all ovarian tumors. SLCT is uncommon in post-menopausal women, with the average age of diagnosis being 25 years.Case. We present a case of a 63-year-old post-menopausal woman presenting with progressive hirsutism, and male-pattern baldness. Unusual nail changes were also observed.Methods. Hormonal profile of the patient revealed increased testosterone and estradiol levels, and a 3.5 cm left ovarian mass. The patient was evaluated and was not found to be anemic or iron-deficient. Intraoperative frozen section assessment during laparoscopic exploration revealed SLCT, which was confirmed subsequently by histopathological and immunohistochemical (IHC) examination. Nail bed tissues were collected from normal females and evaluated by IHC for the presence of androgen receptors (AR).Results: The patient had an excellent postoperative course and all her testosterone-related manifestations were reversed within one year of surgery. Following surgery, the patient's unique nail abnormalities also resolved gradually. The IHC evaluation also confirmed the presence of AR in nail bed tissues of females.Conclusion: SLCT, albeit rare, should be considered in post-menopausal women presenting with virilization and elevated androgen levels. Unusual nail signs may develop in response to increased androgen levels in these patients.
KW - Androgenic nail changes
KW - Hirsutism
KW - Postmenopausal woman
KW - Sertoli-Leydig cell tumor
KW - Virilization
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U2 - 10.1186/s13048-014-0083-5
DO - 10.1186/s13048-014-0083-5
M3 - Review article
C2 - 25296983
AN - SCOPUS:84908550463
SN - 1757-2215
VL - 7
JO - Journal of Ovarian Research
JF - Journal of Ovarian Research
IS - 1
M1 - 83
ER -