Conservative Management of Hyperreactio Luteinalis: A Case Report
Hyperreactio luteinalis (HL) is characterized by bilaterally enlarged ovaries containing multiple self-limited theca lutein cysts and is usually associated with increased production of human chorionic gonadotropin in the presence of trophoblastic disease or multiple pregnancies. About 30 cases of HL...
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Veröffentlicht in: | Journal of Nippon Medical School 2011, Vol.78(4), pp.241-245 |
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container_title | Journal of Nippon Medical School |
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creator | Abe, Takashi Ono, Shuichi Igarashi, Miwa Akira, Shigeo Watanabe, Atsushi Takeshita, Toshiyuki |
description | Hyperreactio luteinalis (HL) is characterized by bilaterally enlarged ovaries containing multiple self-limited theca lutein cysts and is usually associated with increased production of human chorionic gonadotropin in the presence of trophoblastic disease or multiple pregnancies. About 30 cases of HL have been reported in patients with normal singleton pregnancies, and most of these patients required surgical intervention during their first pregnancy because of ovarian torsion or to rule out of ovarian malignancy. However, the accurate diagnosis of HL by means of laboratory tests and magnetic resonance imaging and the exclusion of ovarian malignancy in asymptomatic pregnant woman may avoid unnecessary surgical intervention or termination of pregnancy. The present report describes case of HL in a woman with a normal singleton pregnancy in whom conservative management allowed the preservation of both ovaries. |
doi_str_mv | 10.1272/jnms.78.241 |
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About 30 cases of HL have been reported in patients with normal singleton pregnancies, and most of these patients required surgical intervention during their first pregnancy because of ovarian torsion or to rule out of ovarian malignancy. However, the accurate diagnosis of HL by means of laboratory tests and magnetic resonance imaging and the exclusion of ovarian malignancy in asymptomatic pregnant woman may avoid unnecessary surgical intervention or termination of pregnancy. The present report describes case of HL in a woman with a normal singleton pregnancy in whom conservative management allowed the preservation of both ovaries.</description><identifier>ISSN: 1345-4676</identifier><identifier>EISSN: 1347-3409</identifier><identifier>DOI: 10.1272/jnms.78.241</identifier><identifier>PMID: 21869558</identifier><language>eng</language><publisher>Japan: The Medical Association of Nippon Medical School</publisher><subject>Adult ; Female ; FSH receptor ; Humans ; hyperandrogenism ; Magnetic Resonance Imaging ; OHSS ; Ovarian Cysts - diagnostic imaging ; Ovarian Cysts - pathology ; Ovarian Cysts - therapy ; Ovarian Diseases - diagnostic imaging ; Ovarian Diseases - pathology ; Ovarian Diseases - therapy ; Pregnancy ; Ultrasonography</subject><ispartof>Journal of Nippon Medical School, 2011, Vol.78(4), pp.241-245</ispartof><rights>2011 by the Medical Association of Nippon Medical School</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c573t-5816b460b2de26b58f42516e4430c6650b6d590a8dc9f4f0d045f8ef59ff430a3</citedby><cites>FETCH-LOGICAL-c573t-5816b460b2de26b58f42516e4430c6650b6d590a8dc9f4f0d045f8ef59ff430a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,1879,4012,27906,27907,27908</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21869558$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abe, Takashi</creatorcontrib><creatorcontrib>Ono, Shuichi</creatorcontrib><creatorcontrib>Igarashi, Miwa</creatorcontrib><creatorcontrib>Akira, Shigeo</creatorcontrib><creatorcontrib>Watanabe, Atsushi</creatorcontrib><creatorcontrib>Takeshita, Toshiyuki</creatorcontrib><title>Conservative Management of Hyperreactio Luteinalis: A Case Report</title><title>Journal of Nippon Medical School</title><addtitle>J Nippon Med Sch</addtitle><description>Hyperreactio luteinalis (HL) is characterized by bilaterally enlarged ovaries containing multiple self-limited theca lutein cysts and is usually associated with increased production of human chorionic gonadotropin in the presence of trophoblastic disease or multiple pregnancies. About 30 cases of HL have been reported in patients with normal singleton pregnancies, and most of these patients required surgical intervention during their first pregnancy because of ovarian torsion or to rule out of ovarian malignancy. However, the accurate diagnosis of HL by means of laboratory tests and magnetic resonance imaging and the exclusion of ovarian malignancy in asymptomatic pregnant woman may avoid unnecessary surgical intervention or termination of pregnancy. The present report describes case of HL in a woman with a normal singleton pregnancy in whom conservative management allowed the preservation of both ovaries.</description><subject>Adult</subject><subject>Female</subject><subject>FSH receptor</subject><subject>Humans</subject><subject>hyperandrogenism</subject><subject>Magnetic Resonance Imaging</subject><subject>OHSS</subject><subject>Ovarian Cysts - diagnostic imaging</subject><subject>Ovarian Cysts - pathology</subject><subject>Ovarian Cysts - therapy</subject><subject>Ovarian Diseases - diagnostic imaging</subject><subject>Ovarian Diseases - pathology</subject><subject>Ovarian Diseases - therapy</subject><subject>Pregnancy</subject><subject>Ultrasonography</subject><issn>1345-4676</issn><issn>1347-3409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM9LwzAUgIMoTqcn79KbB-lM0iRNPTmKOmEiiJ5D2r5oR3-ZpIP993Z29pIXeB8fvA-hK4IXhMb0btPUbhHLBWXkCJ2RiMVhxHBy_PfnIROxmKFz5zYYRxHn4hTNKJEi4VyeoWXaNg7sVvtyC8GrbvQX1ND4oDXBateBtaBzX7bBuvdQNroq3X2wDFLtIHiHrrX-Ap0YXTm4PMw5-nx6_EhX4frt-SVdrsOcx5EPuSQiYwJntAAqMi4No5wIYCzCuRAcZ6LgCdayyBPDDC4w40aC4YkxA6KjOboZvZ1tf3pwXtWly6GqdANt75SUw22EUz6QtyOZ29Y5C0Z1tqy13SmC1T6Z2idTsVRDsoG-Pnj7rIZiYv8bDcDDCGycH-pMgLa-zCuYZGx8Bue0yr-1VdBEv9ezfjA</recordid><startdate>2011</startdate><enddate>2011</enddate><creator>Abe, Takashi</creator><creator>Ono, Shuichi</creator><creator>Igarashi, Miwa</creator><creator>Akira, Shigeo</creator><creator>Watanabe, Atsushi</creator><creator>Takeshita, Toshiyuki</creator><general>The Medical Association of Nippon Medical School</general><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>2011</creationdate><title>Conservative Management of Hyperreactio Luteinalis: A Case Report</title><author>Abe, Takashi ; Ono, Shuichi ; Igarashi, Miwa ; Akira, Shigeo ; Watanabe, Atsushi ; Takeshita, Toshiyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c573t-5816b460b2de26b58f42516e4430c6650b6d590a8dc9f4f0d045f8ef59ff430a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Female</topic><topic>FSH receptor</topic><topic>Humans</topic><topic>hyperandrogenism</topic><topic>Magnetic Resonance Imaging</topic><topic>OHSS</topic><topic>Ovarian Cysts - diagnostic imaging</topic><topic>Ovarian Cysts - pathology</topic><topic>Ovarian Cysts - therapy</topic><topic>Ovarian Diseases - diagnostic imaging</topic><topic>Ovarian Diseases - pathology</topic><topic>Ovarian Diseases - therapy</topic><topic>Pregnancy</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abe, Takashi</creatorcontrib><creatorcontrib>Ono, Shuichi</creatorcontrib><creatorcontrib>Igarashi, Miwa</creatorcontrib><creatorcontrib>Akira, Shigeo</creatorcontrib><creatorcontrib>Watanabe, Atsushi</creatorcontrib><creatorcontrib>Takeshita, Toshiyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of Nippon Medical School</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abe, Takashi</au><au>Ono, Shuichi</au><au>Igarashi, Miwa</au><au>Akira, Shigeo</au><au>Watanabe, Atsushi</au><au>Takeshita, Toshiyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Conservative Management of Hyperreactio Luteinalis: A Case Report</atitle><jtitle>Journal of Nippon Medical School</jtitle><addtitle>J Nippon Med Sch</addtitle><date>2011</date><risdate>2011</risdate><volume>78</volume><issue>4</issue><spage>241</spage><epage>245</epage><pages>241-245</pages><issn>1345-4676</issn><eissn>1347-3409</eissn><abstract>Hyperreactio luteinalis (HL) is characterized by bilaterally enlarged ovaries containing multiple self-limited theca lutein cysts and is usually associated with increased production of human chorionic gonadotropin in the presence of trophoblastic disease or multiple pregnancies. About 30 cases of HL have been reported in patients with normal singleton pregnancies, and most of these patients required surgical intervention during their first pregnancy because of ovarian torsion or to rule out of ovarian malignancy. However, the accurate diagnosis of HL by means of laboratory tests and magnetic resonance imaging and the exclusion of ovarian malignancy in asymptomatic pregnant woman may avoid unnecessary surgical intervention or termination of pregnancy. The present report describes case of HL in a woman with a normal singleton pregnancy in whom conservative management allowed the preservation of both ovaries.</abstract><cop>Japan</cop><pub>The Medical Association of Nippon Medical School</pub><pmid>21869558</pmid><doi>10.1272/jnms.78.241</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Female FSH receptor Humans hyperandrogenism Magnetic Resonance Imaging OHSS Ovarian Cysts - diagnostic imaging Ovarian Cysts - pathology Ovarian Cysts - therapy Ovarian Diseases - diagnostic imaging Ovarian Diseases - pathology Ovarian Diseases - therapy Pregnancy Ultrasonography |
title | Conservative Management of Hyperreactio Luteinalis: A Case Report |
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