title: Ovarian 'tumor' of the adrenogenital syndrome: the first reported case.
abstract: We report the case of a 36-year-old woman with congenital adrenal hyperplasia from 21-hydroxylase deficiency who had been receiving replacement therapy with corticosteroids since birth. At the age of 35 years, she developed abrupt aggravation of her virilizing symptoms and underwent an adrenalectomy and partial left oophorectomy. Persistent virilization and high testosterone levels led to right oophorectomy and completion left oophorectomy 6 months later. Each adnexa contained ovarian or paraovarian soft brown masses that on microscopic examination were identical to the testicular tumor of the adrenogenital syndrome. This represents the first reported case of this pathology (well known in the testis) in the ovary.
authors.affiliation: Department of Pathology and Laboratory Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio 45267-0529, USA.
authors.forename: H A
authors.initials: HA
authors.lastname: Al-Ahmadie
authors.forename: J
authors.initials: J
authors.lastname: Stanek
authors.forename: J
authors.initials: J
authors.lastname: Liu
authors.forename: P N
authors.initials: PN
authors.lastname: Mangu
authors.forename: T
authors.initials: T
authors.lastname: Niemann
authors.forename: R H
authors.initials: RH
authors.lastname: Young
mesh_terms: D000312:Adrenal Hyperplasia, Congenital / Q000097:blood / Q000150:complications / Q000473:pathology* / Q000601:surgery; D000315:Adrenalectomy; D000328:Adult; D005260:Female; D006728:Hormones / Q000097:blood; D006801:Humans; D010049:Ovarian Diseases / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D010052:Ovariectomy; D014057:Tomography, X-Ray Computed; D014770:Virilism / Q000209:etiology
chemical_list: D006728:Hormones