Laparoscopic removal of virilizing hilar cell tumor in a postmenopausal patient.
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.
Silva
P D
PD
Department of Obstetrics and Gynecology, Gundersen/Lutheran Medical Center, La Crosse, Wisconsin 54601, USA.
Sorensen
M L
ML
Reynertson
R
R
Virata
R L
RL
Mahairas
G H
GH
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*