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Stromal Tumor of the Sex Cord in a Woman with Testicular Feminization Syndrome: Imaging Features

Nevzat Karabulut1, Aysun Karabulut2, Emre Pakdemirli1, Nuran Sabir1, Seyide Kara Soysal3 and M. Emin Soysal3

1 Department of Radiology, Pamukkale University Hospital, 20010 Denizli, Turkey.
2 Clinic of Obstetrics and Gynecology, Denizli State Hospital, 20010 Denizli, Turkey.
3 Department of Obstetrics and Gynecology, Pamukkale University Hospital, 20010 Denizli, Turkey.



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  		Fig. 1A. —54-year-old woman with testicular feminization syndrome and abdominal mass. Transabdominal color Doppler sonogram reveals hypovascular, mixed solid and cystic mass anterior to left iliac vein. Note low-impedance blood flow on spectral analysis.

 


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  		Fig. 1B. —54-year-old woman with testicular feminization syndrome and abdominal mass. Contrast-enhanced CT scan obtained through pelvis shows well-delineated heterogeneous mass with lobulated borders conforming to surrounding anatomy. Note cystic spaces centrally and contrast-enhanced solid components left anterolerally. Also note contrast enhancement in capsule and septa as well as absence of uterus.

 


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  		Fig. 1C. —54-year-old woman with testicular feminization syndrome and abdominal mass. Sagittal T2-weighted MR image (TR/TE, 1800/100) obtained through midline shows heterogeneous hyperintense mass with hypointense capsule and septa. No uterus is visualized between rectum and bladder.

 


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  		Fig. 1D. —54-year-old woman with testicular feminization syndrome and abdominal mass. Sagittal fat-suppressed T1-weighted MR image (525/14) obtained through midline after IV administration of gadolinium shows contrast enhancement to be most prominent at periphery of lesion. Enhancement is also seen in septa and solid components.

 

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