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Normal delivery following resection of an androgen-secreting adrenal carcinoma
Toshiyasu Amano1, Tetsuya Imao1, Masaya Seki1
1Department of Urology Nagano Red Cross Hospital Wakasato 5-22-1 380-8582 Nagano Japan.
Abstract:
A 31-year-old female presented to a gynecological clinic complaining of amenorrhea and virilism over a 2-month period. Blood tests revealed high serum total testosterone and free testosterone levels. A left adrenal tumor was identified following computed tomography and she was referred to our clinic where a laparoscopic left adrenalectomy was performed. The tumor weighed 98 g and the pathological diagnosis according to Weiss' criteria was adrenocortical carcinoma. The post-operative course was uneventful; her serum free testosterone level normalized and regular menstruation was observed 1 month post-operatively. The patient became pregnant 1 year later, resulting in the normal delivery of a girl.
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