Ultrasonic Imaging Features in Twelve Cases of Ovarian Sertoli–Leydig Cell Tumors
Background
Sertoli–Leydig cell tumors (SLCTs) are a rare type of ovarian neoplasm, accounting for approximately 0.5% of all ovarian tumors. These tumors often present with hyperandrogenic symptoms. Ultrasound serves as the primary imaging modality for evaluating adnexal masses, yet distinguishing SLCTs from other ovarian neoplasms can be challenging.
41.7% of tumors were well-differentiated, and 41.7% were moderately differentiated.
58.3% of tumors were categorized as solid, while 25.0% were cystic-solid.
66.7% of cases exhibited a surrounding ball vascular pattern.
All patients with preoperative testosterone levels showed elevated values.
Ultrasound findings should be considered descriptive observations rather than definitive diagnostic criteria.
Clinical Implications
The distinctive ultrasound features of SLCTs, including solid or cystic-solid masses with peripheral vascularity, may aid in the early suspicion and diagnosis of this tumor type.
Conclusion
The study highlights the importance of recognizing specific ultrasound features of ovarian SLCTs to enhance diagnostic accuracy.
