RARE OVARIAN TUMORS: RADIOLOGICAL-ANATOMICAL DISCORDANCE AND ITS IMPACT ON MANAGEMENT QUALITY - A CASE REPORT

Ovarian tumors are classified into three major histological groups: epithelial tumors, germ cell tumors, and sex cord-stromal tumors. Sex cord-stromal tumors are rare and exhibit a wide spectrum of clinical presentations, often leading to diagnostic challenges. We report the case of a 23-year-old patient with no prior medical history, diagnosed with a sclerosing stromal tumor, a subtype of sex cord-stromal tumors, which exhibited a discordant correlation between radiological and histopathological findings. The complexity of diagnosing primary ovarian tumors based on imaging alone underscores the importance of histopathological confirmation. The patient initially underwent a cystectomy based on radiological findings suggesting a borderline or germ cell tumor. However, histological analysis confirmed a benign sex cord-stromal tumor, necessitating a completion adnexectomy. Management is primarily surgical, with a generally favorable prognosis.