Abstract
A case of ovarian sex cord tumor with annular tubules (SCTAT) in a 24-year old
woman with Turner syndrome is presented. Close association of dysgenetic gonads
and gonadoblastoma has been clearly documented, and there have been sporadic
reports of patients with other gonadal tumors. To our knowledge, a case of SCTAT
in a patient with 45,X/46,XX Turner syndrome has not been reported. On the basis
of histopathologic, immunohistochemical, and ultrastructural findings, we
suggest that the SCTAT originated from pluripotential stem cells of the gonads
and differentiated into either granulosa cells or Sertoli cells. We postulate a
possible relationship between the SCTAT and gonadoblastoma based on the
morphologic resemblance and occurrence in dysgenetic gonads.