[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-329837-105":59,"doc-detail-329837-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","ovarian-stromal-tumor-presenting-as-ovarian-torsion-a-case-report","Ovarian Stromal Tumor Presenting as Ovarian Torsion - A Case Report","","Ovarian sex cord-stromal tumors (SCST) are rare ovarian neoplasms originating from supportive tissues around oocytes, requiring prompt diagnosis and tailored management to improve outcomes. A 25-year-old patient initially treated as pyelonephritis was later found to have a large right adnexal mass suspicious for tubo-ovarian abscess. Imaging and tumor markers suggested possible germ cell or SCST, leading to surgery; pathology confirmed a benign stromal tumor after torsion and necrosis were found. Recovery was smooth, and post-treatment surveillance focused on symptoms and markers.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/ovarian-stromal-tumor-presenting-as-ovarian-torsion-a-case-report/329837/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/ovarian-stromal-tumor-presenting-as-ovarian-torsion-a-case-report/329837.png","ImageObject",300,407,{"name":92,"@type":93},"Aurelia","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-21",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the clinical significance of ovarian sex cord-stromal tumors (SCST) in this case?","Question",{"text":113,"@type":114},"SCST can show diverse presentations, and timely diagnosis and management are important to optimize patient outcomes. In this case, the tumor ultimately presented with torsion despite initial symptoms resembling infection.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How did the diagnostic workup guide treatment in the report?",{"text":118,"@type":114},"Evaluation included tumor markers and imaging after an initial suspicion of tubo-ovarian abscess. The findings raised concern for possible germ cell tumor or SCST, supporting surgical intervention.",{"name":120,"@type":111,"acceptedAnswer":121},"What did surgery and pathology reveal?",{"text":122,"@type":114},"Intraoperatively, a necrotic tubo-ovarian mass with torsion was found and removed. Subsequent pathology confirmed a benign stromal tumor, and the patient recovered smoothly.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},329837,1790162291,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},1099514068365,"https://ap-avatar.wpscdn.com/avatar/10000253d8d9f28188e?_k=1776742907772140068","Review began 12/14/2024  \nReview ended 12/25/2024  \nPublished 12/30/2024  \n© Copyright 2024  \nBojja et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0. , which permits unrestricted use , distribution , and reproduction in any medium , provided the original author and source are credited.  \nDOI: 10.7759/cureus.76640  \nOpen Access Case Report  \nOvarian Stromal Tumor Presenting as Ovarian Torsion: A Case Report  \nSrikaran Bojja 1 , Nismat Javed 2, Marcos Molina 1, Harriet Smith 3, Misbahuddin Khaja 4  \n1. Internal Medicine, BronxCare Health System, New York City, USA 2. Internal Medicine, BronxCare Health System/Icahn School of Medicine at Mount Sinai, New York City, USA 3. Obstetrics and Gynecology, BronxCare Health System, New York City, USA 4. Internal Medicine/Pulmonary Critical Care, BronxCare Health System/Icahn School of Medicine at Mount Sinai, New York City, USA  \nCorresponding author: Nismat Javed, [nismatjaved@gmail.com](nismatjaved@gmail.com)  \nAbstract  \nOvarian sex cord-stromal tumors (SCST) are a rare subset of ovarian neoplasms originating from supportive tissues surrounding oocytes. Despite their rarity, prompt diagnosis and management are crucial due to their potential for diverse clinical presentations and the need to optimize patient outcomes. A 25-year-old female patient was initially diagnosed with pyelonephritis but later discovered to have a large right adnexal mass suspected to be a tubo-ovarian abscess. Further evaluation, including tumor markers and imaging, suggested the possibility of a germ cell tumor or sex-cord stromal tumor, leading to surgical intervention. During surgery, a necrotic tubo-ovarian mass with torsion was found and removed, with subsequent pathology confirming a benign stromal tumor. The patient experienced a smooth recovery postoperatively. The management of ovarian SCST, which is rare and has varied clinical presentations, requires accurate diagnosis and a customized treatment approach. These typically benign tumors can produce steroid hormones, leading to distinct symptoms like virilization or estrogen excess. Diagnostic tools include imaging and tumor markers, while surgical options range from conservative to extensive based on specific tumor and patient characteristics. Post-treatment surveillance involves monitoring symptoms and tumor markers. Advancing the understanding and care of these tumors relies on ongoing research and collaborative, multidisciplinary efforts to improve patient outcomes.  \nCategories: Obstetrics/Gynecology, Internal Medicine, Oncology  \nKeywords: diagnosis, management, ovarian sex cord-stromal tumor, ovarian torsion, tubo-ovarian mass  \nIntroduction  \nOvarian cancer is the seventh most diagnosed cancer in the world and the eighth most common cause of death in women [1] . Ovarian sex cord-stromal tumors (SCST) encompass a diverse array of both benign and malignant growths originating from the cell population responsible for forming the supportive tissues surrounding oocytes, which are the non-germ cell and non-epithelial elements of the gonads and comprise about 1.2% of all primary ovarian cancers [2] . These tumors represent a relatively rare subset of ovarian neoplasms and are typically classified based on their histological features, including fibromas, thecomas, and fibrothecomas [2] .  \nSCSTs are a diverse group of benign and malignant neoplasms that arise from either ovarian stromal cells or primitive sex cord cells. They are typically classified into three categories: pure stromal tumors, pure sex cord tumors, and mixed SCSTs. Pure stromal tumors originate from mesenchymal cells of the ovarian stroma; examples include fibromas, thecomas, sclerosing stromal tumors, microcystic stromal tumors, Leydig cell tumors, and steroid cell tumors. Pure sex cord tumors develop from primitive sex cord cells and include granulosa cell tumors, Sertoli cell tumors, and sex cord tumors with annular","cbCais7acvGm3Jfm","https://ap.wps.com/l/cbCais7acvGm3Jfm","pdf",5449428,"English","# Abstract\n# Introduction\n# Case Presentation","[{\"question\":\"What is the clinical significance of ovarian sex cord-stromal tumors (SCST) in this case?\",\"answer\":\"SCST can show diverse presentations, and timely diagnosis and management are important to optimize patient outcomes. In this case, the tumor ultimately presented with torsion despite initial symptoms resembling infection.\"},{\"question\":\"How did the diagnostic workup guide treatment in the report?\",\"answer\":\"Evaluation included tumor markers and imaging after an initial suspicion of tubo-ovarian abscess. The findings raised concern for possible germ cell tumor or SCST, supporting surgical intervention.\"},{\"question\":\"What did surgery and pathology reveal?\",\"answer\":\"Intraoperatively, a necrotic tubo-ovarian mass with torsion was found and removed. Subsequent pathology confirmed a benign stromal tumor, and the patient recovered smoothly.\"}]","Ovarian Stromal Tumor Presenting as Ovarian Torsion - A Case Report | PDF",1789985760,23]