Laparoscopic management of Sertoli-Leydig cell tumors of the ovary. A report of two cases.
BACKGROUND
Sertoli-Leydig cell tumor is a rare ovarian tumor with an incidence of < .5% of all ovarian tumors. Laparotomy is the standard approach to these cases.


METHODS
Sertoli-Leydig cell tumors were diagnosed in two young, nulliparous, infertile women. Both presented with secondary amenorrhea. Virilization was found in one. Their testosterone levels were high, and sonography revealed a solid, echogenic mass in the fornix. Laparoscopic removal was performed. Both women achieved normal menstruation one month after the operation, and one became pregnant and gave birth to a healthy infant.


CONCLUSIONS
There are very few case reports of laparoscopic removal of such tumors. Laparoscopic surgery, which is minimally invasive and cosmetically acceptable and has a speedy recovery, should be the approach of choice for these patients.
Kriplani
A
A
Department of Obstetrics and Gynaecology, Teaching Block, All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110029, India. kriplani@medinst.ernet.in
Agarwal
N
N
Roy
K K
KK
Manchanda
R
R
Singh
M K
MK
D000328:Adult; D000568:Amenorrhea / Q000209:etiology; D005260:Female; D006628:Hirsutism / Q000209:etiology; D006801:Humans; D007247:Infertility, Female / Q000209:etiology; D010535:Laparoscopy; D007984:Leydig Cell Tumor / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012707:Sertoli Cell Tumor / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D013739:Testosterone / Q000097:blood
D013739:Testosterone