Welcome to the ePoster Viewing Panel of AICOG 2025

INTRODUCTION ? Sex cord-stromal tumors (SCSTs) are a rare group of ovarian neoplasms originating from the sex cords and stromal tissues of the gonads. They usually occur in the first two to three decades of life and accounts for approximately 8% of all ovarian tumors. These tumors are characterized by their diverse clinical presentations, often mimicking more common gynecological conditions. CLINICAL DETAILS - We report the case of a 35-year-old female who presented in emergency with acute abdominal pain, highlighting the diagnostic and therapeutic challenges associated with Sex cord-stromal tumors. The patient initially sought medical attention for amenorrhea since 2 months with sensation of bloating. CT Imaging study in emergency ward revealed a large irregular solid cystic ovarian mass approximately 13.3*8.7*15.5cm with a small 2-3 cms vascular component arising from the anterior abdominal reaching upto the right adnexal region with mild ascites, raising suspicion of a neoplasm. Management & outcome ? Decision taken for fertility sparing surgery ??Exploratory laparotomy for adnexal mass excision with myomectomy and omentectomy?. Adnexal mass removed in toto in endobag and sent for frozen section which confirmed the diagnosis of a sex cord stromal tumor. Final histopathological report and immunohistochemical markers, including inhibin, calretinin, and CD56, were crucial in establishing the diagnosis of ?sclerosing type of sex cord stromal tumor.? Conclusion ? Through this poster, we aim to increase awareness for early detection and management of rare ovarian tumors such as Sex cord-stromal tumors. They are rare but should be considered in the differential diagnosis of ovarian masses as and when presented.