title: Rare recurrence of a rare ovarian stromal tumor with luteinized cells: a case report.
abstract: BACKGROUND
  Sex cord-stromal tumors of the ovary are uncommon. They behave unpredictably and often have a late recurrence, making counseling, management, and prediction of prognosis challenging.
  
  
  METHODS
  A 52-year-old Moroccan woman with an sex cord-stromal tumors underwent a bilateral oophorectomy. The histology was unusual but was likely to be a luteinized thecoma with suspicious features for invasion. Seven years later, after a gastrointestinal bleed, a metastasis within the small bowel mucosa was detected. This represents probable isolated hematogenous or lymphatic spread, which is highly unusual, especially in the absence of concurrent peritoneal disease.
  
  
  CONCLUSIONS
  To the best of our knowledge, this is the second reported case of an sex cord-stromal tumors recurring in small bowel mucosa and mimicking a primary colorectal tumor. This highlights the diverse nature and behavior of these tumors.
authors.affiliation: Department of Medical Oncology, National Institute of Oncology, Rabat, Morocco. moulay.elmehdi@yahoo.fr.
authors.forename: Tazi
authors.initials: T
authors.lastname: El Mehdi
authors.forename: Ismail
authors.initials: I
authors.lastname: Essadi
authors.forename: Hind
authors.initials: H
authors.lastname: M'rabti
authors.forename: Hassan
authors.initials: H
authors.lastname: Errihani