Sex Cord-Stromal Tumors of the Ovary

Radiol Clin North Am. 2023 Jul;61(4):595-608. doi: 10.1016/j.rcl.2023.02.005. Epub 2023 Mar 31.

Abstract

Ovarian sex cord-stromal tumors (OSCSTs) are a rare group of ovarian neoplasms that can be benign or malignant. They are classified into pure sex cord tumors, pure stromal tumors, and mixed SCST. The most common malignant OSCSTs are adult granulosa cell tumors. In contrast to the more common ovarian epithelial malignancies, OSCSTs present in younger patients, often at early stages, with better prognoses. Imaging features are variable, and pathology is required for diagnosis. However, certain tumors demonstrate characteristic imaging appearances that can be useful in narrowing the differential diagnosis.

Keywords: Adult granulosa cell tumors; Female pelvic imaging; Gynecologic oncology; Juvenile granulosa cell tumors; MR imaging; Sex cord-stromal tumors; Ultrasound.

Publication types

  • Review

MeSH terms

  • Adult
  • Female
  • Granulosa Cell Tumor* / diagnostic imaging
  • Granulosa Cell Tumor* / pathology
  • Humans
  • Ovarian Neoplasms* / diagnostic imaging
  • Ovarian Neoplasms* / pathology
  • Pelvis
  • Sex Cord-Gonadal Stromal Tumors* / diagnostic imaging
  • Sex Cord-Gonadal Stromal Tumors* / pathology