Postmenopausal hyperandrogenism of ovarian origin: A clinicopathologic study of five cases
Autor: | EK Omana, George Beena, S Ajith, Nitu Mariam Mathew |
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Rok vydání: | 2016 |
Předmět: |
medicine.medical_specialty
Health (social science) medicine.medical_treatment Medicine (miscellaneous) Case Report 030209 endocrinology & metabolism Disease lcsh:Geriatrics lcsh:Gynecology and obstetrics laparoscopic 03 medical and health sciences 0302 clinical medicine oophorectomy medicine ovarian lcsh:RG1-991 Radiological imaging Gynecology Serum testosterone postmenopausal Postmenopausal women Obstetrics business.industry Virilization Hyperandrogenism Oophorectomy medicine.disease lcsh:RC952-954.6 030220 oncology & carcinogenesis medicine.symptom business Hormone |
Zdroj: | Journal of Mid-Life Health, Vol 7, Iss 4, Pp 189-192 (2016) Journal of Mid-Life Health |
ISSN: | 0976-7800 |
DOI: | 10.4103/0976-7800.195699 |
Popis: | In postmenopausal women presenting with virilization and elevated testosterone levels, laparoscopic salpingo-oophorectomy should be considered after exclusion of adrenal causes. A clinicopathological study was conducted among those women who presented with features of hyperandrogenism in our postmenopausal clinic over a period of 2 years. Relevant past medical and surgical histories were elicited. Basic hormonal evaluation and radiological imaging were done. Laparoscopic bilateral salpingo-oophorectomy was done. Six weeks postoperatively, serum testosterone was undetectable with significant clinical improvement. There was no recurrence of symptoms during the follow-up period of 2 years. Treatment of postmenopausal women with hyperandrogenism and virilization with laparoscopic bilateral salpingo-oophorectomy is effective if she has no pronounced ovarian enlargement or adrenal tumor on imaging. An extensive endocrine testing and a detailed search for metastatic disease may be unnecessary. |
Databáze: | OpenAIRE |
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