Direct laparoscopic venous sampling to diagnose a small Sertoli-Leydig tumor.

Abstract:

BACKGROUND:Sertoli-Leydig cell tumors (SLCT) constitute only 0.5% of all primary ovarian neoplasms. We report a unique diagnostic method (selective laparoscopic venous sampling) and a rare case of a contralateral second primary tumor. CASE:A 14-year-old female presented with hyperandrogenic complaints and an increased serum testosterone. Ovarian origin was confirmed by direct laparoscopic ovarian blood sampling. A right salpingo-oophorectomy was performed. The pathological diagnosis was SLCT of intermediate differentiation. Three years later, the patient presented again with an increased serum testosterone. A solid tumor in the left ovary was excised. The pathology was SLCT of intermediate differentiation. The patient remains disease-free. CONCLUSIONS:Direct laparoscopic venous sampling is used to diagnose a small SLCT in a teenage patient.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

White LC,Buchanan KD,O'Leary TD,Carlan SJ,Boothby R

doi

10.1016/s0090-8258(03)00405-0

subject

Has Abstract

pub_date

2003-10-01 00:00:00

pages

254-7

issue

1

eissn

0090-8258

issn

1095-6859

pii

S0090825803004050

journal_volume

91

pub_type

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