title: Uterus didelphys associated with bilateral dermoid cysts and polycystic ovarian disease.
abstract: A case is reported of bilateral dermoid cysts in a 21-year-old woman with a double uterus, hirsutism, oligomenorrhea and markedly elevated serum-androgens. After surgery her menstrual periods and serum-androgens were normalized, and a histological review revealed polycystic changes just beneath the ovarian capsule. No histopathologic evidence of stromal luteinization was found, but a little group of Sertoli cells was seen in the tumors. On the basis of the case report and the literature, the clinical importance of a definitive diagnosis of polycystic ovarian disease in both the non-surgical and the surgical management of the syndrome is discussed.
mesh_terms: D000328:Adult; D000728:Androgens / Q000097:blood; D003884:Dermoid Cyst / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000150:complications* / Q000601:surgery; D011085:Polycystic Ovary Syndrome / Q000150:complications* / Q000628:therapy; D014599:Uterus / Q000002:abnormalities*
chemical_list: D000728:Androgens