Massive Uterine Leiomyoma in a Phenotypic Male.

Autor:	Qureshi R; General Surgery, Shalamar Hospital, Shalamar Medical & Dental College, Lahore, PAK., Shafiq A; Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, PAK.; Surgical Oncology, Shalamar Hospital, Shalamar Medical & Dental College, Lahore, PAK., Sajid J; Oncology, Shalamar Hospital, Shalamar Medical & Dental College, Lahore, PAK., Younas A; General Surgery, Shalamar Hospital, Shalamar Medical & Dental College, Lahore, PAK., Butt R; Surgery, Services Hospital Lahore, Lahore, PAK.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Jun 23; Vol. 16 (6), pp. e62977. Date of Electronic Publication: 2024 Jun 23 (Print Publication: 2024).
DOI:	10.7759/cureus.62977
Abstrakt:	We present a case report of a 55-year-old male patient with congenital adrenal hyperplasia (CAH) and a large neoplastic mass in the abdomen. The patient presented with an abdominal mass and discomfort, along with a bilateral empty scrotum since birth. A diagnostic workup revealed the mass to be a uterine leiomyoma associated with CAH, a simple virilizing type. Treatment involved an exploratory laparotomy and excision of the mass, including the removal of the entire uterus. Complete removal of the mass and uterus was ensured. The patient's response to treatment was satisfactory. This case highlights how pre-operative and post-operative diagnoses can vary, along with the importance of early diagnosis of CAH and disorders of sexual differentiation (DSD), emphasizing the significance of unusual presentations and resultant complications, as they might go unnoticed. CAH in XX females may have unusual presentations, such as short stature and a male phenotype (Prader 5). The patient exhibited a normal pattern of male sexual function. This condition might go unnoticed, resulting in leiomyoma, adrenal tumors, prostate tumors if prostate tissue is present, and so on. Healthcare providers must watch out for such rare presentations. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Qureshi et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu