Bilateral Mucinous Cystadenomas and Massive Edema of the Ovaries in a Virilized Adolescent Girl

Ovarian pathology, including nonfunctional tumors and massive edema of the ovary, has been associated with stromal luteinization and clinical endocrinopathies. An adolescent girl presented with primary amenorrhea, clitoromegaly, and large abdominopelvic mass. Laboratory evaluation revealed an elevat...

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Veröffentlicht in:Obstetrics and gynecology (New York. 1953) 2012-08, Vol.120 (Suppl 2), p.473-476
Hauptverfasser: Thomas, Robin L., Carr, Bruce R., Ziadie, Mandolin S., Wilson, Ellen E.
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container_end_page 476
container_issue Suppl 2
container_start_page 473
container_title Obstetrics and gynecology (New York. 1953)
container_volume 120
creator Thomas, Robin L.
Carr, Bruce R.
Ziadie, Mandolin S.
Wilson, Ellen E.
description Ovarian pathology, including nonfunctional tumors and massive edema of the ovary, has been associated with stromal luteinization and clinical endocrinopathies. An adolescent girl presented with primary amenorrhea, clitoromegaly, and large abdominopelvic mass. Laboratory evaluation revealed an elevated serum total testosterone level of 241 ng/dL. Magnetic resonance imaging confirmed three cystic adnexal structures, with the largest measuring 16 × 8 × 18 cm. Surgery with pelvic washings, bilateral ovarian cystectomies, unilateral paratubal cystectomy, and bilateral ovarian biopsies were performed. Pathology confirmed bilateral mucinous cystadenomas and massive edema of the ovaries. Postoperatively, the serum total testosterone level normalized. Nonfunctional ovarian tumors and massive edema of the ovaries should be considered in the differential diagnosis for a patient presenting with signs of hyperandrogenism.
doi_str_mv 10.1097/AOG.0b013e3182572654
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An adolescent girl presented with primary amenorrhea, clitoromegaly, and large abdominopelvic mass. Laboratory evaluation revealed an elevated serum total testosterone level of 241 ng/dL. Magnetic resonance imaging confirmed three cystic adnexal structures, with the largest measuring 16 × 8 × 18 cm. Surgery with pelvic washings, bilateral ovarian cystectomies, unilateral paratubal cystectomy, and bilateral ovarian biopsies were performed. Pathology confirmed bilateral mucinous cystadenomas and massive edema of the ovaries. Postoperatively, the serum total testosterone level normalized. 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Nonfunctional ovarian tumors and massive edema of the ovaries should be considered in the differential diagnosis for a patient presenting with signs of hyperandrogenism.</description><subject>Adolescent</subject><subject>Amenorrhea - etiology</subject><subject>Biological and medical sciences</subject><subject>Cystadenoma, Mucinous - pathology</subject><subject>Cystadenoma, Mucinous - surgery</subject><subject>Drainage</subject><subject>Edema - pathology</subject><subject>Edema - surgery</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Hyperandrogenism - diagnosis</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Ovarian Diseases - pathology</subject><subject>Ovarian Diseases - surgery</subject><subject>Ovarian Neoplasms - pathology</subject><subject>Ovarian Neoplasms - surgery</subject><subject>Testosterone - blood</subject><subject>Tomography, X-Ray Computed</subject><subject>Virilism - diagnosis</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkcFu1DAQhi0EokvhDRDyBYlLythOYue4rMpSqdVeAHGzZuOx1uAkxU5alafHVZdW4uSDv9_j-X7G3go4E9Dpj-vd9gz2IBQpYWSjZdvUz9hKGK0qqdSP52wFILtKm7o-Ya9y_gkAou3US3YiZUlIDStmP4WIMyWM_GrpwzgtmW_u8oyOxmnAzHF0_ApzDjfEzx0NyCfP5wPx3Q2mQJmHkSP_HlKI4Q85vnZTpNzTOPNtSPE1e-ExZnpzPE_Zt8_nXzdfqsvd9mKzvqx6ZWRdtV7U2Ipeo1ONw86Rl1rtCY1XJBwa07mmw07Icmm8QK3rjqQmr3UL0qlT9uHh3es0_V4oz3YI5Rcx4khlJytAQQPSaFHQ-gHt05RzIm-vUxgw3RXI3qu1Ra39X22JvTtOWPYDucfQP5cFeH8EMPcYfcKxD_mJa0VpotFP82-nWMznX3G5pWQPhHE-2FIStLKBSoKQYEpl1X1vtfoLzVyRdg</recordid><startdate>20120801</startdate><enddate>20120801</enddate><creator>Thomas, Robin L.</creator><creator>Carr, Bruce R.</creator><creator>Ziadie, Mandolin S.</creator><creator>Wilson, Ellen E.</creator><general>The American College of Obstetricians and Gynecologists</general><general>Lippincott Williams &amp; Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120801</creationdate><title>Bilateral Mucinous Cystadenomas and Massive Edema of the Ovaries in a Virilized Adolescent Girl</title><author>Thomas, Robin L. ; Carr, Bruce R. ; Ziadie, Mandolin S. ; Wilson, Ellen E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3824-6f14a61c7ad35da9def273bea8f3e1da889d59a912da98f1a7749e27ef77602d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Amenorrhea - etiology</topic><topic>Biological and medical sciences</topic><topic>Cystadenoma, Mucinous - pathology</topic><topic>Cystadenoma, Mucinous - surgery</topic><topic>Drainage</topic><topic>Edema - pathology</topic><topic>Edema - surgery</topic><topic>Female</topic><topic>Gynecology. 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subjects Adolescent
Amenorrhea - etiology
Biological and medical sciences
Cystadenoma, Mucinous - pathology
Cystadenoma, Mucinous - surgery
Drainage
Edema - pathology
Edema - surgery
Female
Gynecology. Andrology. Obstetrics
Humans
Hyperandrogenism - diagnosis
Magnetic Resonance Imaging
Medical sciences
Ovarian Diseases - pathology
Ovarian Diseases - surgery
Ovarian Neoplasms - pathology
Ovarian Neoplasms - surgery
Testosterone - blood
Tomography, X-Ray Computed
Virilism - diagnosis
title Bilateral Mucinous Cystadenomas and Massive Edema of the Ovaries in a Virilized Adolescent Girl
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