Ovarian hilus-cell hyperplasia and high serum testosterone in a patient with postmenopausal virilization


Delibasi T., ERDOĞAN M. F., Serinsöz E., KAYGUSUZ G., Erdogan G., Sertçelik A.

Endocrine Practice, cilt.13, sa.5, ss.472-475, 2007 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 13 Sayı: 5
  • Basım Tarihi: 2007
  • Doi Numarası: 10.4158/ep.13.5.472
  • Dergi Adı: Endocrine Practice
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.472-475
  • Ankara Üniversitesi Adresli: Evet

Özet

Objective: To describe a woman with postmenopausal virilization and hirsutism caused by hilus-cell hyperplasia. Methods: We present a case report including laboratory, radiographic, and pathologic findings in a patient with postmenopausal hirsutism and virilization caused by ovarian hilus-cell hyperplasia as well as a brief review of the literature. Results: A 60-year-old postmenopausal woman presented with extensive hirsutism, male-pattern hair loss, and clitoromegaly. The patient's plasma testosterone levels were very high, but computed tomography showed the adrenal glands to be normal in size. Pelvic ultrasonography revealed a cystic lesion in the left ovary. After bilateral salpingo-oophorectomy, histologic examination demonstrated a diffuse pattern of hilus-cell hyperplasia in the ovarian hilum. Conclusion: In the differential diagnosis of postmenopausal virilization, hilus-cell hyperplasia, although rare, should be considered. © 2007 AACE.