病毒化,卵巢高血症和扭曲伪装成恶性病:一个病例报告
Aimee Morrison1, Taryn Wassmer1, Sarah Swauger2
1Department of Surgery, Division of Pediatric and Adolescent Gynecology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Journal of pediatric and adolescent gynecology
|December 9, 2024
概括
卵巢高血糖症 (OHT) 是青少年病毒化的一个罕见原因. 这个案例突出了OHT作为年轻患者的考虑因素,这些患者呈现出盆腔质量和水平升高.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 儿科妇科 儿科妇科
- 内分泌学 在内分泌学.
背景情况:
- 患有雄激素过多和寡妇的绝经前女性通常被评估是否患有多囊性卵巢综合征或雄激素分泌瘤.
- 卵巢高症 (OHT) 是青少年出现这些症状的罕见原因,特别是当有盆腔质量时.
研究的目的:
- 在一个青少年呈现的骨盆质量和 virilization. 呈现卵巢高血糖症 (OHT) 的案例.
- 强调在此类病例的差异诊断中考虑OHT的重要性.
主要方法:
- 一名15岁的女性患有原发性 amenorrhea 和 virilization 经历了盆腔成像,揭示了盆腔质量.
- 手术前的实验室显示,丸激素水平明显升高.
- 手术评估和随后的病理学证实OHT后右卵巢切除术怀疑卵巢瘤和扭曲.
主要成果:
- 盆腔成像检查发现了一个被怀疑是卵巢瘤的质量.
- 在手术前检测出明显升高的丸激素水平.
- 病理学评估意外诊断出卵巢高甲症 (OHT),而不是一种安德روج因分泌瘤.
结论:
- 卵巢高血糖症 (OHT) 应在青少年的差异诊断中考虑,这些青少年呈现盆腔质量和病毒化迹象.
- 这一案例强调了儿童和青少年群体中OHT的罕见性和诊断挑战.
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