Clinicopathological analysis of ovarian sertoli-leydig cell tumor with postmenopausal vaginal bleeding as the first symptom
| Autor: | Liang-yan Shi, Jie Duan, Li-juan Huang |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Hysterectomy postmenopausal vaginal bleeding Elevated serum Sertoli-Leydig Cell Tumor 03 medical and health sciences Ovarian tumor 0302 clinical medicine ovarian sertoli-leydig cell tumor medicine Humans Endocrine system Vaginal bleeding Clinical Case Report 030212 general & internal medicine Ovarian Sertoli-Leydig Cell Tumor Ovarian Neoplasms business.industry Laparoscopic hysterectomy Testosterone (patch) General Medicine Middle Aged Pelvic cavity Surgery Postmenopause medicine.anatomical_structure 030220 oncology & carcinogenesis testosterone Female Uterine Hemorrhage medicine.symptom business Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| DOI: | 10.1097/md.0000000000024922 |
| Popis: | Rational: Ovarian sertoli-leydig cell tumor (OSLCT) is extremely rare. We reported a OSLCT case in whom postmenopausal vaginal bleeding was the first symptom. Patient concerns: The patient came to our hospital due to postmenopausal vaginal bleeding. Diagnoses: Serum tumor markers and color Doppler ultrasound for her pelvic cavity were negative. The patient was finally diagnosed with left OSLCT by pathology. It was difficult to make a definite diagnosis before operation, the diagnosis of OSLCT required postoperative pathology in the patients. Interventions: the patient underwent laparoscopic hysterectomy+bilateral adnexectomy+lysis of pelvic adhesions. Outcomes: Postoperative laboratory examinations were normal. The patient was discharged from our hospital on the seventh day after operation and came to our hospital for follow-up check in April 2020. Physical and laboratory examinations were normal. Lessons: OSLCT can show different endocrine abnormalities, which are related to the various types of tumor tissues. Missed diagnosis and misdiagnosis are likely to occur in the patients who only have elevated serum testosterone. For the menopausal women with elevated serum testosterone, ovarian tumor shoule be highly suspected after excluding adrenal gland-related diseases. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|