Masculinizing sclerosing stromal cell tumor in pregnancy: report of a caseand review of the literature

Purpose: To report a case of sclerosing stromal cell tumor of the ovary in pregnancy and to review the literature of this rare ovarian tumor. Methods: The patient's office record and hospital record were reviewed. Gro ss and microscopic pathology were reviewed by one gynecologic pathologist. A Medline literature search and literature review were performed. Results: Over eighty cases of sclerosing stromal cell tumor of the ovary ha ve been reported in the literature since the definition of this pathologic condition in 1973. Only five cases have been reported during pregnancy and only two of these resulted in maternal virilization. This report describes severe maternal virilization with birth of a non-virilized female infant. Conclusion. Sclerosing stromal cell tumor of the ovary can result in severe virilization via androgen production. Surgery with removal of the involved ovary is required for diagnosis and cure. Prognosis is excellent.