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- Title
A Case Report: Ovarian Sertoli-Leydig Cell Tumor With Hyperestrogenism and Endometrial Hyperplasia in a Postmenopausal Woman.
- Authors
Yoko Tsuzuki; Iwaho Kikuchi; Michio Nojima; Koyo Yoshida; Akane Hashizume; Shigeki Tomita
- Abstract
The patient was a 66-year-old woman, G2P2. The patient presented a chief complaint of irregular postmenopausal bleeding 1 month ago. A transvaginal ultrasonography showed that bilateral ovaries were not enlarged and uterine endometrium was thickened, measuring at 9 mm. As a result of endometrial curettage, the simple endometrial hyperplasia was revealed. A blood examination showed an elevated estradiol level of 67 pg/mL, an elevated level of testosterone 0.64 ng/mL, and a slightly suppressed follicle-stimulating hormone (FSH) level of 34.86 mIU/mL. We conducted laparoscopic hysterectomy and bilateral salpingo-oophorectomy because the patient strongly suggested less invasive surgery. The result of pathological diagnosis was Sertoli-Leydig cell tumor (SLCT) in moderately differentiation. A blood examination after a month postoperatively revealed an elevated FSH level of 85.59 mIU/mL, depressed estradiol level of less than 10 pg/mL, and testosterone level of less than 0.03 ng/mL. There was no evidence of recurrence in the first year of follow-up.
- Subjects
SERTOLI cell tumors; ENDOMETRIAL hyperplasia; POSTMENOPAUSE; LEYDIG cell tumors; ESTRADIOL
- Publication
Japanese Clinical Medicine, 2017, Issue 8, p1
- ISSN
1179-6707
- Publication type
Case Study
- DOI
10.1177/11790660176952