Please use this identifier to cite or link to this item: http://archive.cmb.ac.lk:8080/xmlui/handle/70130/2828
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dc.contributor.authorKaluarachchi, A
dc.contributor.authorMarasinghe, J.P
dc.contributor.authorBacha, T.M
dc.contributor.authorAgunanoel, P
dc.date.accessioned2012-08-30T04:07:53Z
dc.date.available2012-08-30T04:07:53Z
dc.date.issued2012-08-30
dc.identifier.urihttp://archive.cmb.ac.lk:8080/xmlui/handle/70130/2828-
dc.description.abstractA 58-year-old woman, presented with progressive androgenization including virilisation, and hypertension. On clinical examination she had a Ferriman Gallway score of 10 and clitaromegaly. Vaginal examination revealed a right adnexal mass of approximately 4cm diameter. Her total serum testosterone level was 4.5ng/ml (normal range 0.06- 0.82) and free testosterone level was 16.6 pg/ml (normal range 0.1- 1.7 and was not suppressed with dexamethasone. Ultrasound scan and C T scan of abdomen & pelvis confirmed the presence of a solid ovarian mass while the adrenal glands were normal. She had total abdominal hysterectomy, bilateral salpingo - oophorectomy and infracolic omentectomy. Histopathological examination revealed a leutinised thecoma of the right ovary. Postoperatively the testosterone level returned to normal and the patient had regression of virilism. Ovarian thecoma is a rare benign tumor of stromal cell origin, and represents less than 1% of all ovarian tumors. It occurs most often in perimenopausal and postmenopausal women. Typical thecomas are almost always estrogenic; the luteinized forms are virilizing in about 10% o f cases. We report a case of a 58-year-old post menopausal woman with a right ovarian leutinised thecoma with progressive virilization. Only 35 reported cases were identified by Search of indexed literature from 1966 - 2007,out of which only one was reported in a post postmenopausal female.
dc.language.isoenen_US
dc.title(POSTER) LEUTINIZED THE COMA IN A POSTMENOPAUSAL WOMANen_US
dc.typeResearch abstracten_US
Appears in Collections:Department of Obstetrics & Gynaecology

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