A patient with both sarcoma botryoides and Sertoli-Leydig cell tumor: A case report

A 20-year-old nulligravida with sarcoma botryoides of the cervix underwent radical hysterectomy, including pelvic lymphadenectomy. The patient did not complete the prescribed radiotherapy and adjuvant chemotherapy. Two years later, the patient underwent bilateral oophorectomy and omentectomy due to the presence of a giant, multilocular ovarian cyst: the histological report indicated a Sertoli-Leydig cell tumor, but at this stage there were no clinical features of hyperandrogenism. Two years after this procedure, in the presence of clinical and laboratory evidence of hyperandrogenism, this patient nnderwent a resection of a cystic tumor (Sertoli-Leydig cell tumor-metastatic lesion) which was adherent to the pelvic site wall: following this operation, the androgen levels returned to normal. To the best of our knowledge this is the only description in the English literature of two growths of this type in one patient.