[Bilateral ovarian lipid cell tumor: a case of androgenization in women]

Lipid cell tumors are a very small group of ovarian neoplasms. Especially rare they occur simultaneous in the both ovaries. They are connected with symptoms of virilisation and increased androgens serum concentration. This report describe a case of 34-years old woman with a symptoms of a quickly increased hirsutism and ascites. These symptoms were connected with recurrence of a lipid cell tumor in a left ovary after 4 years from ovariectomy on the other side. The diagnostic and therapeutic management in the regional hospital, where the first ovariectomy was performed, was not correct. Young women should be treated in a special gynecology departments, where pathological intraoperative diagnosis of the second ovary is possible. Quickly diagnosis and surgical treatment allowed to cure the patient. Follow-up examinations after 5 months showed symptoms resolved and normalization of serum androgens concentration. Diagnosis of these ovarian tumors is difficult but we should think about it in every case of androgenization. Analysis of the symptoms and quickly diagnosis gives a chance of entire treatment.