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Bilateral thecoma presenting as premenopausal hirsutism: Laproscopic removal
S Ramkumar1, V P Jyotsna1, S Mallick2
1Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India.
Bilateral ovarian thecoma, a rare cause of hyperandrogenism, presented as hirsutism in a premenopausal woman. Surgical removal of the tumors normalized androgen levels, resolving the condition.
Area of Science:
- Gynecology
- Endocrinology
- Oncology
Background:
- Hyperandrogenism is a frequent endocrine disorder in women of reproductive age.
- Ovarian sex cord-stromal tumors are uncommon causes of androgen excess.
- Thecoma, a type of sex cord-stromal tumor, typically presents unilaterally.
Observation:
- A 48-year-old premenopausal woman exhibited symptoms of hyperandrogenism.
- The patient was diagnosed with bilateral ovarian thecoma.
- Hirsutism was a prominent clinical manifestation.
Findings:
- Surgical resection of the bilateral ovarian thecomas was performed.
- Post-operative androgen levels returned to normal.
- This case represents the first documented instance of bilateral thecoma causing hirsutism in a premenopausal woman.
Implications:
- Highlights the importance of considering rare ovarian tumors in the differential diagnosis of hyperandrogenism.
- Demonstrates the efficacy of surgical intervention for androgen normalization in such cases.
- Contributes to the understanding of the clinical spectrum of ovarian thecomas.
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