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绝经后女性的睾丸间质细胞瘤:病例报告及文献综述

Leydig cell tumor in the post-menopausal woman: case report and literature review.

作者信息

Sherf Sahar, Martinez Dorothy

机构信息

University of California, Los Angeles.

出版信息

Acta Biomed. 2016 Jan 16;87(3):310-313.

PMID:28112699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10521896/
Abstract

Leydig cell tumors of the ovary account for less than 0.1% of all ovarian tumors (1). We present two cases in which patients had markedly elevated serum testosterone levels and frank hirsutism. Both cases revealed right ovarian Leydig cell tumors upon oophorectomy with post-surgical resolution of hypertestosteronemia. While rare and difficult to diagnose, androgen secreting tumors should be suspected in women with hyperandrogenism and hirsutism, especially in the postmenopausal population.

摘要

卵巢间质细胞瘤占所有卵巢肿瘤的比例不到0.1%(1)。我们报告两例患者血清睾酮水平显著升高且伴有明显多毛症的病例。两例患者经卵巢切除术后均发现右侧卵巢间质细胞瘤,术后高睾酮血症得以缓解。虽然雄激素分泌性肿瘤罕见且难以诊断,但对于有高雄激素血症和多毛症的女性,尤其是绝经后女性,应怀疑此类肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c06/10521896/2362a28e3741/ACTA-87-310-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c06/10521896/a268016d20f3/ACTA-87-310-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c06/10521896/2362a28e3741/ACTA-87-310-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c06/10521896/a268016d20f3/ACTA-87-310-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c06/10521896/2362a28e3741/ACTA-87-310-g002.jpg

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本文引用的文献

1
Ovarian Leydig cell tumor in a post-menopausal patient with severe hyperandrogenism.一名绝经后严重高雄激素血症患者的卵巢莱迪希细胞瘤。
Arq Bras Endocrinol Metabol. 2014 Feb;58(1):68-75. doi: 10.1590/0004-2730000002461.
2
Leydig cell hyperplasia and Leydig cell tumour in postmenopausal women: report of two cases.绝经后妇女的 Leydig 细胞增生和 Leydig 细胞瘤:两例报告。
Gynecol Endocrinol. 2013 Mar;29(3):213-5. doi: 10.3109/09513590.2012.705375. Epub 2012 Jul 26.
3
Pure leydig cell tumour of the ovary in a post-menopausal patient with severe hyperandrogenism and erythrocytosis.
绝经后妇女患严重高雄激素血症和红细胞增多症的卵巢单纯型睾丸间质细胞瘤。
Gynecol Endocrinol. 2011 Apr;27(4):237-40. doi: 10.3109/09513590.2010.490611. Epub 2010 Jun 2.
4
Virilizing ovarian steroid cell tumor in a 40 year old South Indian female: a case report.一名40岁南印度女性的男性化卵巢类固醇细胞瘤:病例报告
Cases J. 2009 May 18;2:7521. doi: 10.1186/1757-1626-2-7521.
5
Selective ovarian vein sampling can be crucial to localize a Leydig cell tumor: an unusual case in a postmenopausal woman.选择性卵巢静脉采样对于定位睾丸间质细胞瘤可能至关重要:一名绝经后女性的罕见病例。
Maturitas. 2008 Nov 20;61(3):278-80. doi: 10.1016/j.maturitas.2008.09.003. Epub 2008 Oct 19.
6
Bilateral Leydig cell tumour of the ovary: a rare cause of virilization in postmenopausal patient.双侧卵巢莱迪希细胞瘤:绝经后患者男性化的罕见原因。
Maturitas. 2007 Jun 20;57(2):214-6. doi: 10.1016/j.maturitas.2006.11.013. Epub 2007 Feb 7.
7
Ovarian thecoma with androgenic manifestations in a postmenopausal woman.一名绝经后女性出现具有雄激素表现的卵巢卵泡膜细胞瘤。
Gynecol Endocrinol. 2006 Jul;22(7):405-8. doi: 10.1080/09513590600842539.
8
Ovarian Leydig cell tumor in a peri-menopausal woman with severe hyperandrogenism and virilization.一名围绝经期女性患有严重高雄激素血症和男性化表现的卵巢莱迪希细胞瘤。
Gynecol Endocrinol. 2005 Oct;21(4):238-41. doi: 10.1080/09513590500369005.