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[Sertoli-Leydig tumor. Clinical case].

A Huneeus1, F Alba, W Fernández

  • 1Instituto de Investigaciones Materno Infantil, Universidad de Chile.

Revista Medica De Chile
|February 11, 2000
PubMed
Summary
This summary is machine-generated.

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A rare ovarian tumor, Sertoli-Leydig, was diagnosed in a 16-year-old girl with secondary amenorrhea and hirsutism. Surgical removal of the left ovarian tumor was successful, confirming the diagnosis.

Area of Science:

  • Gynecologic Oncology
  • Reproductive Endocrinology
  • Pathology

Background:

  • Sertoli-Leydig cell tumors are rare ovarian neoplasms, typically presenting in young women.
  • These tumors can cause significant hormonal disturbances, leading to symptoms like amenorrhea and hirsutism.
  • Obesity, indicated by a high body mass index (BMI), can sometimes be associated with gynecological conditions.

Observation:

  • A 16-year-old female presented with secondary amenorrhea, voice coarsening, hirsutism, and a BMI of 35 kg/m2.
  • Pelvic ultrasound and CT scans revealed a dense retro-uterine mass.
  • Surgical exploration identified a left ovarian tumor.

Findings:

  • Pathological examination confirmed the excised ovarian tumor as a Sertoli-Leydig cell tumor.

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  • This diagnosis explains the patient's hormonal symptoms and virilization.
  • The tumor was successfully removed surgically.
  • Implications:

    • Early diagnosis and surgical management are crucial for favorable outcomes in Sertoli-Leydig tumors.
    • This case highlights the importance of investigating hormonal abnormalities in adolescent girls.
    • Further research into the hormonal milieu and potential genetic factors associated with these tumors is warranted.