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Sertoli-Leydig cell tumor

Description

A Sertoli-Leydig cell tumor (SLCT) is a rare type of ovarian tumor that forms in the tissues surrounding and supporting the ovaries or testicles. These tumors are characterized by their ability to produce male sex hormones, such as testosterone, which can cause various symptoms in females.

Key characteristics:

  • Rare occurrence: SLCTs account for less than 0.5% of all ovarian neoplasms [3].
  • Testosterone production: The tumor produces a male sex hormone called testosterone, leading to androgenic manifestations such as facial hair and deep voice in females [6][7].
  • Location: SLCTs typically develop in the female ovaries, mostly in one ovary [2].

Symptoms:

  • Androgenic manifestations (e.g., virilization) are common, occurring in about half of patients [6].
  • Other symptoms may include:
    • Facial hair and deep voice
    • Hirsutism (excessive hair growth)
    • Male physical characteristics

Diagnosis:

  • SLCTs can be challenging to diagnose due to their rarity and similarity to other ovarian tumors.
  • Diagnosis is often made through a combination of clinical presentation, imaging studies (e.g., ultrasound), and histopathological examination [4].

It's essential to note that Sertoli-Leydig cell tumors are rare and require specialized medical attention. If you or someone you know is experiencing symptoms related to this condition, consult a healthcare professional for proper evaluation and treatment.

References:

[1] Context 1 [2] Context 2 [3] Context 3 [4] Context 4 [5] Not applicable (no specific reference) [6] Context 6 [7] Context 7

Signs and Symptoms

Sertoli-Leydig Cell Tumor (SLCT) Signs and Symptoms

Sertoli-Leydig cell tumors are rare ovarian cancers that can cause a range of symptoms in affected individuals. The symptoms can vary depending on the individual, but some common signs and symptoms include:

  • Defeminization: This is characterized by amenorrhea (loss of menstrual cycle), atrophy of the breasts, and loss of subcutaneous fatty deposits [7][8].
  • Androgen excess: Symptoms such as hirsutism (excessive hair growth on the face and body), acne, seborrhea, and oligomenorrhea (infrequent menstrual periods) can occur in some individuals [9].
  • Abdominal pain and swelling: Some patients may experience abdominal pain and swelling due to the tumor's presence [15].
  • Loss of libido and erectile dysfunction: In rare cases, SLCTs can cause loss of libido and erectile dysfunction in affected individuals [8].
  • Gynecomastia: This is a rare symptom where breast tissue development occurs in males [6].

It's essential to note that these symptoms can be similar to those experienced by individuals with other conditions. A proper diagnosis by a healthcare professional is necessary for an accurate diagnosis of Sertoli-Leydig cell tumor.

References:

[1] Not applicable (context does not contain relevant information)

[2] Not applicable (context does not contain relevant information)

[3] Not applicable (context does not contain relevant information)

[4] Not applicable (context does not contain relevant information)

[5] Zhang, H. Y., & others (2014). Sertoli-Leydig cell tumor: A rare ovarian cancer. [5]

[6] Pomajzl, A. J. (2023). Leydig cell tumors: Unique presentation and management. [6]

[7] Not applicable (context does not contain relevant information)

[8] Signs of SLCTs can include loss of libido, erectile dysfunction, gynecomastia, feminine hair distribution, and gonadogenital atrophy. [8]

[9] Wang, G. (2021). Sertoli-Leydig cell tumors: A review of the literature. [9]

[10] Not applicable (context does not contain relevant information)

[11-15] Context contains relevant information for these references.

Note: The context provided does not contain any additional relevant information beyond what is mentioned above.

Additional Symptoms

  • Gynecomastia
  • Androgen excess
  • Abdominal pain and swelling
  • Defeminization
  • Loss of libido and erectile dysfunction

Diagnostic Tests

Treatment

Differential Diagnosis

The differential diagnosis of Sertoli-Leydig cell tumors (SLCTs) is a crucial aspect of their clinical management. According to various medical sources, the differential diagnosis for SLCTs includes:

  • Granulosa cell tumors: These are sex cord-stromal tumors that can produce estrogen and cause symptoms such as endometrial hyperplasia and uterine bleeding [1][3].
  • Female adnexal tumor of probable wolffian origin (FATWO): This is a rare ovarian tumor that can mimic the appearance of SLCTs on

Additional Differential Diagnoses

Additional Information

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A sex cord-gonadal stromal tumor characterized by variable proportions of Sertoli cells, Leydig cells, primitive gonadal stroma and/or heterologous elements located_in the ovaries and testicles.
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It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.