Poorly differentiated Sertoli-Leydig cell tumor of ovary: A diagnostic challenge

Sertoli-Leydig cell tumors (SLCTs) account for less than 0.5% of all ovarian tumors. The patients can present with androgenic as well as estrogenic manifestations. Poorly differentiated tumors are very difficult to diagnose under microscope. Here, we report a rare case of poorly differentiated SLCT (Meyer′s type III) presenting with androgenic manifestations. Histopathologically, we got a variety of features from which the final diagnosis was quite impossible. Preoperative clinical features, hormonal level, and immunohistochemistry played a great role in finalizing the diagnosis.