title: Recurrent Sertoli-Leydig cell tumor of ovary in 8-year-old girl.
abstract: Sertoli-Leydig cell tumors are rare sex cord-stromal neoplasms that account for <0.2% of ovarian tumors. These tumors with a retiform pattern pose difficult diagnostic problems, with the majority of being misinterpreted as serous papillary cystadenocarcinoma and endodermal sinus tumor. We report an 8-year-old female patient presented to our institution with a huge mass and pain in the lower abdomen and recurrence in the 10th months following the first operation. Only four cases of Sertoli-Leydig cell tumors have been reported under age of the eight years in the literature so far. It is difficult to define the stage and the morphology of Sertoli-Leydig cell tumors with retiform pattern in children and chemotherapy or radiotherapy administration is contraversial. However, fertility sparing surgeries should be considered as a first treatment choice on the time of the diagnosis and the recurrence.
authors.affiliation: Department of Pediatric Surgery, Gazi University, Faculty of Medicine, Ankara, Turkey zafertrk@yahoo.com.
authors.forename: Zafer
authors.initials: Z
authors.lastname: Turkyilmaz
authors.affiliation: Department of Pediatric Surgery, Gazi University, Faculty of Medicine, Ankara, Turkey.
authors.forename: Ramazan
authors.initials: R
authors.lastname: Karabulut
authors.affiliation: Department of Pediatric Surgery, Gazi University, Faculty of Medicine, Ankara, Turkey.
authors.forename: Fatma
authors.initials: F
authors.lastname: Ozbakir
authors.affiliation: Department of Pediatric Oncology, Gazi University, Faculty of Medicine, Ankara, Turkey.
authors.forename: Guclu
authors.initials: G
authors.lastname: Pinarli
authors.affiliation: Department of Pathology, Gazi University, Faculty of Medicine, Ankara, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Arda Inan
authors.affiliation: Department of Pediatric Oncology, Gazi University, Faculty of Medicine, Ankara, Turkey.
authors.forename: Aynur
authors.initials: A
authors.lastname: Oguz
authors.affiliation: Department of Pediatric Surgery, Gazi University, Faculty of Medicine, Ankara, Turkey.
authors.forename: Kaan
authors.initials: K
authors.lastname: Sonmez
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D007813:Laparotomy; D009364:Neoplasm Recurrence, Local / Q000473:pathology* / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D018310:Sertoli-Leydig Cell Tumor / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*
keywords: Sertoli–Leydig cell tumor; children; ovary