Steroid Cell Tumor of the Ovary Presenting With Postmenopausal Bleeding and Hyperandrogenism: A Case Report

Steroid cell tumors of the ovary are rare, often hormonally active neoplasms that may present with features of hyperandrogenism. We report the case of a 60-year-old woman who initially presented with postmenopausal bleeding and a reassuringly thin endometrium, with symptoms attributed to hormone replacement therapy. Over time, the development of progressive hirsutism and persistently elevated serum testosterone levels prompted further investigation. Multidisciplinary team involvement, including endocrinology input, was pivotal in identifying a suspected androgen-secreting ovarian tumor and guiding definitive management. Bilateral salpingo-oophorectomy confirmed a steroid cell tumor of the left ovary, International Federation of Gynecology and Obstetrics (FIGO) stage IA, with complete biochemical and clinical resolution. This case highlights the importance of reassessing postmenopausal patients with evolving hyperandrogenic features despite initially reassuring findings.