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: P D Silva, M L Sorensen, R Reynertson, R L Virata, G H Mahairas
• Journal: The Journal of the American Association of Gynecologic Laparoscopists (J Am Assoc Gynecol Laparosc) Vol. 4 Issue 4 Pg. 499-502 (Aug 1997) ISSN: 1074-3804 [Print] United States
• PMID: 9224588 (Publication Type: Case Reports, Journal Article)

Topics

• Female
• Humans
• Laparoscopy
• Leydig Cell Tumor (complications, diagnosis, surgery)
• Middle Aged
• Ovarian Neoplasms (complications, diagnosis, surgery)
• Postmenopause
• Virilism (etiology)