A 30-year-old woman presented with increased body and facial hair, deepening of the voice, acne and menstrual abnormalities. An ultrasound showed a unilateral solid right ovarian mass. At surgery, the left ovary, uterus and abdominal cavity appeared normal. A unilateral salpingo-oophorectomy was performed. On gross examination, the ovary contained a well circumscribed 6.0 cm solid yellow, somewhat lobulated, mass without surface involvement. Tumor cells were positive for inhibin and calretinin, but were negative for cytokeratin 7.
The master list with the correct answer
• Clear cell carcinoma of the ovary
• Leydig cell tumor
• Metastatic renal cell carcinoma
• Sertoli cell tumor
• Steroid cell tumor, not otherwise specified
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