Welcome to the ePoster Viewing Panel of AICOG 2025

Introduction Sclerosing stromal tumor (SST) of the ovary is a rare benign neoplasm, often misdiagnosed due to its clinical and radiological resemblance to polycystic ovarian disease (PCOD). Aims & Objectives To highlight the diagnostic challenges posed by ovarian SST mimicking PCOD and to emphasize the importance of thorough evaluation in young women presenting with atypical PCOD features and pain abdomen. Material & Methods A 20-year-old girl presented with irregular menstrual cycles, abdominal pain, hirsutism, acne, and weight gain. Initial ultrasound revealed a bulky ovary with a polycystic pattern, and elevated testosterone levels supported a diagnosis of PCOD. She was started on PCOD management but returned with acute abdomen, prompting further evaluation. Suspecting ovarian torsion, laparoscopic enucleation of an ovarian mass was performed. Histopathological analysis confirmed the diagnosis of SST. Post-surgical follow-up, including routine ultrasounds, was conducted at 3 and 6 months, with no evidence of recurrence. Results Initial clinical and imaging findings were consistent with PCOD; however, the progression to acute abdomen led to the identification of a rare ovarian mass. Histopathology confirmed SST, a benign stromal tumor. Post-operative recovery was uneventful, and follow-up demonstrated normal ovarian function bilaterally, with no recurrence or fresh complaints over one year. Conclusions This case underscores the need for vigilance in evaluating young women presenting with PCOD-like features, especially when accompanied by persistent or acute symptoms such as abdominal pain. While SST is rare, timely diagnosis and surgical management can ensure excellent outcomes. A multidisciplinary approach remains key to managing such rare ovarian tumors effectively.