绝经后病毒化的难题:双边莱迪格细胞瘤是罪祸首
Sudwita Sinha1, Mukta Agarwal2, Ishita Roy2
1Obstetrics and Gynaecology, AIIMS Patna, Patna, India skss19217@gmail.com.
BMJ case reports
|January 6, 2026
概括
本案例研究描述了一例罕见的双边莱迪格细胞瘤在绝经后的妇女导致严重的高雄性质. 手术切除使得丸激素水平正常化,并消除了男性化症状.
科学领域:
- 内分泌学 在内分泌学.
- 妇科瘤学 妇科瘤学
- 病理学 病理学 病理学
背景情况:
- 绝经后的高雄性质异常不常见,需要进行彻底的调查.
- 绝经后妇女血清丸激素升高可能表明雌激素分泌瘤.
研究的目的:
- 报告一种罕见的双边莱迪格细胞瘤病例,在绝经后的女性中呈现为病毒化.
- 强调在严重的高雄性质症中考虑卵巢瘤的诊断和治疗的重要性.
主要方法:
- 一个经过更年期的女性的临床表现和实验室发现.
- 磁共振成像 (MRI) 用于附质量检测.
- 手术干预:全腹腔镜子宫切除术与双侧卵管切除术.
- 切除卵巢的组织病理学检查.
主要成果:
- 显著增加的血清丸激素水平 (>1500 ng/dL) 和逐渐的病毒化.
- 在MRI上发现了一个小的左侧附质;其他评估没有什么显著的.
- 组织病理学证实了双边的莱迪格细胞瘤.
- 手术后血清丸激素的正常化和 virilization 的显著回归.
结论:
- 双边莱迪格细胞瘤极为罕见,但应怀疑在绝经后的妇女,严重的高雄性和雄性化.
- 必须考虑卵巢的雄激素分泌瘤,即使没有确的成像.
- 手术切除是最终的治疗方法,确保荷尔蒙正常化和症状消失.
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