[Retrograde vascular catheterization as a differential diagnostic method of studying androgenization in the female].
In 20 women with marked androgynism or testosterone concentrations being suspected for a tumor blood samples were taken by selective retrograde catheterization of the ovarian and suprarenal veins via vena femoralis. Testosterone, 17 beta-estradiol, and progesterone were determined and the concentration gradients to peripheral blood levels were calculated. In 20% of patients an pure adrenal and in 5% an ovarian hypersecretion of testosterone was established. A combined adrenal-ovarian hypersecretion was found in 50%. In 25% of the cases no final estimation was made because anatomic variations in venous size and drainage made catheterization and bilateral blood sampling impossible. There were no references to an androgen-secreting tumor.
D000311:Adrenal Glands / Q000098:blood supply; D000328:Adult; D002404:Catheterization; D003937:Diagnosis, Differential; D005260:Female; D005640:Follicle Stimulating Hormone / Q000097:blood; D006628:Hirsutism / Q000097:blood / Q000175:diagnosis*; D006801:Humans; D007247:Infertility, Female / Q000097:blood / Q000175:diagnosis*; D007986:Luteinizing Hormone / Q000097:blood; D008297:Male; D010053:Ovary / Q000098:blood supply; D011085:Polycystic Ovary Syndrome / Q000097:blood / Q000175:diagnosis*; D011388:Prolactin / Q000097:blood; D013739:Testosterone / Q000097:blood*; D014680:Veins
D013739:Testosterone; D011388:Prolactin; D007986:Luteinizing Hormone; D005640:Follicle Stimulating Hormone
Die retrograde Gefässsondierung als differentialdiagnostische Untersuchungsmethode bei der Androgenisierung der Frau.