Bilateral mucinous cystadenomas and massive edema of the ovaries in a virilized adolescent girl.

Abstract:

BACKGROUND:Ovarian pathology, including nonfunctional tumors and massive edema of the ovary, has been associated with stromal luteinization and clinical endocrinopathies. CASE:An adolescent girl presented with primary amenorrhea, clitoromegaly, and large abdominopelvic mass. Laboratory evaluation revealed an elevated serum total testosterone level of 241 ng/dL. Magnetic resonance imaging confirmed three cystic adnexal structures, with the largest measuring 16 × 8 × 18 cm. Surgery with pelvic washings, bilateral ovarian cystectomies, unilateral paratubal cystectomy, and bilateral ovarian biopsies were performed. Pathology confirmed bilateral mucinous cystadenomas and massive edema of the ovaries. Postoperatively, the serum total testosterone level normalized. CONCLUSION:Nonfunctional ovarian tumors and massive edema of the ovaries should be considered in the differential diagnosis for a patient presenting with signs of hyperandrogenism.

journal_name

Obstet Gynecol

authors

Thomas RL,Carr BR,Ziadie MS,Wilson EE

doi

10.1097/AOG.0b013e3182572654

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

473-476

issue

2 Pt 2

eissn

0029-7844

issn

1873-233X

pii

00006250-201208001-00014

journal_volume

120

pub_type

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