Hypothyroidism and hyperlipidemia with a virilizing ovarian steroid cell tumor, not otherwise specified

Abstract

Steroid cell tumors, not otherwise specified, are rare ovarian sex cord–stromal tumors with malignant potential. The majority of these tumors produce steroids, with testosterone being the most common. A 44-year-old woman with hypothyroidism and hyperlipidemia presented with abrupt onset of oligomenorrhea, progressive virilization as acne, hirsutism and clitoromegaly, and a non-palpable pelvic mass. The preoperatively elevated serum testosterone level returned to normal after salpingo-oophorectomy, and then menstrual flow became regular.

Keywords:

• Steroid cell tumors (not otherwise specified)
• virilizing ovarian tumor
• hypothyroidism
• hyperlipidemia