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妊娠卵巢黄体瘤:一种罕见的男性化原因。

Ovarian luteoma masses in pregnancy: an uncommon cause of virilisation.

机构信息

Obstetrics and Gynaecology, Northern Hospital, Epping, Victoria, Australia

Obstetrics and Gynaecology, Northern Hospital, Epping, Victoria, Australia.

出版信息

BMJ Case Rep. 2024 Sep 12;17(9):e261239. doi: 10.1136/bcr-2024-261239.

Abstract

Pregnancy luteoma is a benign ovarian tumour that presents during pregnancy and regresses spontaneously post partum. The mass may secrete androgenic hormones which can result in virilisation of mother and female foetus. Clinical presentation of pregnancy luteoma is varied from asymptomatic to significant virilisation. We present two cases of ovarian luteomas identified incidentally at caesarean section. The first case had marked hirsutism, while the second case had mild acne. Both foetuses were male and appeared unaffected at birth. Where maternal virilisation is identified during pregnancy, differential diagnoses including pregnancy luteoma should be considered.

摘要

妊娠黄体瘤是一种良性卵巢肿瘤,在怀孕期间出现,并在产后自发消退。该肿瘤可能会分泌雄性激素,导致母亲和女胎出现男性化。妊娠黄体瘤的临床表现从无症状到明显的男性化不等。我们报告了两例在剖宫产时偶然发现的卵巢黄体瘤病例。第一例患者有明显的多毛症,第二例患者有轻度痤疮。两个胎儿均为男性,出生时外观正常。如果在怀孕期间发现母亲出现男性化,应考虑包括妊娠黄体瘤在内的鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec59/11404140/10f89a1a95f7/bcr-17-9-g001.jpg

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