Silva P D, Sorensen M L, Reynertson R, Virata R L, Mahairas G H
Department of Obstetrics and Gynecology, Gundersen/Lutheran Medical Center, La Crosse, Wisconsin 54601, USA.
J Am Assoc Gynecol Laparosc. 1997 Aug;4(4):499-502. doi: 10.1016/s1074-3804(05)80047-7.
A postmenopausal woman experienced rapidly progressing hirsutism and signs of virilization. Hormone evaluations showed markedly elevated serum testosterone levels and no evidence of excess cortisol or dehydroepiandrosterone sulfate production. A computerized tomographic scan of the adrenals and ovaries was normal, and transvaginal ultrasound revealed a left ovary with a maximum diameter of 3.2 cm. At outpatient laparoscopic bilateral oophorectomy, the left ovary had a benign, 2.5-cm Leydig cell tumor, hilar cell variant. Laparoscopy may be useful in the diagnosis and treatment of select cases of virilizing tumors of the ovary.
一名绝经后女性出现了迅速进展的多毛症和男性化体征。激素评估显示血清睾酮水平显著升高，且无皮质醇或硫酸脱氢表雄酮分泌过多的证据。肾上腺和卵巢的计算机断层扫描正常，经阴道超声显示左侧卵巢最大直径为3.2厘米。在门诊进行腹腔镜双侧卵巢切除术时，左侧卵巢有一个2.5厘米的良性门细胞型莱迪希细胞瘤。腹腔镜检查可能有助于诊断和治疗某些卵巢男性化肿瘤病例。
