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Ovarian thecoma: A very unusual cause of postmenopausal bleeding
E Arteaga1, F Valenzuela1, A Martinez1
1Department of Endocrinology and Centro Traslacional de Endocrinologia (CETREN-UC), Pontificia Universidad Catolica de Chile, Santiago, Chile.
Abstract:
We describe a 67-year-old woman with postmenopausal bleeding having ceased estrogen plus progestogen therapy nine months before. Transvaginal ultrasonography showed endometrial thickening with normal ovarian appearance. Hormonal studies revealed high estradiol and inhibin B levels but normal androgens and adrenal hormones. Magnetic resonance image demonstrated a 13-mm left ovarian tumour. Hysterectomy and bilateral salpingo-oophorectomy were performed, and the pathological study revealed an 8 mm ovarian thecoma. This case illustrates a very unusual cause of postmenopausal bleeding. We suggest a study protocol and discuss the differential diagnosis of this case.
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