Steroid cell tumors account for 0.1 % of ovarian tumors and are classified within the group of stromal tumors, also known as sex cord tumors. These neoplasms can appear at any age but are more common in menopausal women and are associated with endocrine syndromes. The most significant clinical findings are hirsutism and virilization. Management should be individualized according to histological findings, surgical stage and the woman's reproductive wishes.
We describe a 78-year-old patient with alopecia and severe hirsutism, a marked increase in testosterone and a 4-cm tumor of the right ovary, diagnosed as a steroid cell tumor.