Department of Endocrinology and Centro Traslacional de Endocrinologia (CETREN-UC), Pontificia Universidad Catolica de Chile, Santiago, Chile.
Department of Radiology, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Post Reprod Health. 2021 Sep;27(3):175-177. doi: 10.1177/20533691211016698. Epub 2021 May 26.
We describe a 67-year-old woman with postmenopausal bleeding having ceased estrogen plus progestogen therapy nine months before. Transvaginal ultrasonography showed endometrial thickening with normal ovarian appearance. Hormonal studies revealed high estradiol and inhibin B levels but normal androgens and adrenal hormones. Magnetic resonance image demonstrated a 13-mm left ovarian tumour. Hysterectomy and bilateral salpingo-oophorectomy were performed, and the pathological study revealed an 8 mm ovarian thecoma. This case illustrates a very unusual cause of postmenopausal bleeding. We suggest a study protocol and discuss the differential diagnosis of this case.
我们描述了一位 67 岁的绝经后出血女性，她在九个月前停止了雌激素加孕激素治疗。经阴道超声显示子宫内膜增厚，卵巢外观正常。激素研究显示雌二醇和抑制素 B 水平高，但雄激素和肾上腺激素正常。磁共振成像显示左侧卵巢有一个 13 毫米的肿瘤。进行了子宫切除术和双侧输卵管卵巢切除术，病理研究显示卵巢有一个 8 毫米的卵泡膜细胞瘤。本例说明了绝经后出血的一个非常不常见的原因。我们建议了一个研究方案，并讨论了该病例的鉴别诊断。
