Stevens M L, Plotka E D
Obstet Gynecol. 1977 Jul;50(1 Suppl):27s-29s.
A postmenopausal woman presented with enlarged breasts, increased vaginal mucus, and elevated serum estrogen and normal progesterone levels. A laparotomy was performed and revealed a cystic right ovary. Histologic examination of the ovary demonstrated a cyst lined by stratified lutein cells with abundant eosinophilic cytoplasm. The endometrium showed cystic and adenomatous hyperplasia. The diagnosis was functional lutein cyst. Removal of the cystic ovary reduced the estrogen levels, and the clinical picture reverted to that of a normal postmenopausal state.
一位绝经后女性出现乳房增大、阴道黏液增多，血清雌激素水平升高而孕酮水平正常。行剖腹探查术，发现右侧卵巢有一囊肿。卵巢组织学检查显示囊肿内衬为分层的黄体细胞，胞质富含嗜酸性物质。子宫内膜呈囊性及腺瘤样增生。诊断为功能性黄体囊肿。切除囊肿性卵巢后雌激素水平降低，临床症状恢复至正常绝经后状态。
