Hyperandrogenism produced by ovarian tumors in women at different life stages.
DOI:
https://doi.org/10.31053/1853.0605.v71.n2.9082Keywords:
Cáncer, Tumor de ovario, GinecologíaAbstract
ABSTRACT
Objective: to evaluate the different presentations of hyperandrogenism produced by ovarian tumors in women at different life stages
Design: case report
Setting: academic institutions
Patient(s): 3 patients at different life stages, with increased androgen levels
Intervention(s): review of hospital records
Main Outcome Measure(s): clinical and biochemical features, treatment and follow-up
Result(s): a 10 year-old girl with Leydig cell tumor presented with hyperandrogenemia, virilization and changes in social behavior. Another patient, at reproductive age, with a tumor >10 cm, presented with signs of virilization and abdominal mass, whose pathologic analysis disclosed a carcinoid tumor of the ovary associated with stromal hyperplasia. The third patient was a postmenopausal woman with severe alopecia, who presented a steroid cell tumor, rare at that age.
Conclusion(s): the evaluation of women with signs and symptoms of virilization should include a detailed clinical record, thorough physical examination and an appropriate hormonal dosage, especially when images are inconclusive.
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