Barcelo B, Abascal J, Ardaiz J, Gil P, Colas A, Menendez J, Inchausti J L
Postgrad Med J. 1979 Jun;55(644):406-8. doi: 10.1136/pgmj.55.644.406.
The successful surgical removal of a feminizing adrenal tumour in a postmenopausal woman is described. Most of these tumours are malignant and the pathological findings and the biological behaviour of the tumour frequently do not correlate, so that a careful follow-up is necessary. In the presence of vaginal bleeding in a postmenopausal woman endometrial carcinoma should be considered. If this has been ruled out and if oestrogens are elevated with low plasma gonadotrophins, a feminizing ovarian or adrenal tumour should be considered.
本文描述了一位绝经后女性成功接受女性化肾上腺肿瘤手术切除的病例。这些肿瘤大多为恶性，肿瘤的病理表现与生物学行为常不相关，因此需要密切随访。绝经后女性出现阴道出血时，应考虑子宫内膜癌。若已排除子宫内膜癌，且雌激素水平升高而血浆促性腺激素水平降低，则应考虑女性化卵巢或肾上腺肿瘤。
