Postmenopausal lady with virilization: Diagnosis of a rare steroid cell tumor of the ovary

64 year old postmenopausal lady presented with features of virilization over last 5 years. Her Total Testosterone level was 22.2 nmol/l (0.52- 2.47 nmol/l) which is very high to be attributed to normal aging. Her past medical history was unremarkable except adequately controlled diabetes mellitus. Her DHEAS level was normal and did not have other hormonal abnormalities. Her transvaginal ultrasound scan showed a left ovarian tumor of 3 X 3 cm in size. She underwent a CECT abdomen and pelvis which also confirmed the left ovarian tumor without any malignant features or metastasis.