title: Laparoscopic removal of virilizing hilar cell tumor in a postmenopausal patient.
abstract: A postmenopausal woman experienced rapidly progressing hirsutism and signs of virilization. Hormone evaluations showed markedly elevated serum testosterone levels and no evidence of excess cortisol or dehydroepiandrosterone sulfate production. A computerized tomographic scan of the adrenals and ovaries was normal, and transvaginal ultrasound revealed a left ovary with a maximum diameter of 3.2 cm. At outpatient laparoscopic bilateral oophorectomy, the left ovary had a benign, 2.5-cm Leydig cell tumor, hilar cell variant. Laparoscopy may be useful in the diagnosis and treatment of select cases of virilizing tumors of the ovary.
authors.affiliation: Department of Obstetrics and Gynecology, Gundersen/Lutheran Medical Center, La Crosse, Wisconsin 54601, USA.
authors.forename: P D
authors.initials: PD
authors.lastname: Silva
authors.forename: M L
authors.initials: ML
authors.lastname: Sorensen
authors.forename: R
authors.initials: R
authors.lastname: Reynertson
authors.forename: R L
authors.initials: RL
authors.lastname: Virata
authors.forename: G H
authors.initials: GH
authors.lastname: Mahairas
mesh_terms: D005260:Female; D006801:Humans; D010535:Laparoscopy; D007984:Leydig Cell Tumor / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D017698:Postmenopause; D014770:Virilism / Q000209:etiology*