Resection of liver metastases from a virilizing steroid (lipoid) cell ovarian tumor.
The authors report the case of a 34-year-old woman who presented liver metastases from a virilizing lipoid cell ovarian tumor. The patient complained of right upper quadrant abdominal pain, strong virilization and secondary amenorrhea. She developed hirsutism and irregular menses at the age of 23, and a salpingo-ooforectomy for a right ovarian lipoid cell tumor was performed. She was asymptomatic but 6 months before admission she presented abdominal pain. The computed tomography scan showed a large right-side hypodense liver lesion. Tumor and viral markers were normal. Serum testosterone was 7 ng/mL and the dehydroepiandrosterone was 2.5 ng/mL. A right trisegmentectomy was performed. Her recovery was uneventful, hormone levels returned to normal, and she has been asymptomatic after a follow-up of 6 months.
Garduño-López
Ana Lilia
AL
Department of Gastroenterology, Instituto Nacional de Cancerología, México City, México.
Mondragón-Sánchez
Ricardo
R
Herrera-Goepfert
Roberto
R
Bernal-Maldonado
Rigoberto
R
D000328:Adult; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000097:blood / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D018309:Neoplasms, Gonadal Tissue / Q000097:blood / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000473:pathology* / Q000503:physiopathology; D011859:Radiography; D013739:Testosterone / Q000097:blood; D014770:Virilism / Q000209:etiology
D013739:Testosterone