Polycystic Ovarian Syndrome with Unilateral Cystic Teratoma
作者:
CYNTHIA COOKE,
DONALD McEVOY,
EDWARD WALLACH,
期刊:
Obstetrics & Gynecology
(OVID Available online 1972)
卷期:
Volume 39,
issue 5
页码: 789-794
ISSN:0029-7844
年代: 1972
出版商: OVID
数据来源: OVID
摘要:
A 20-year-old white female with hirsutism, oligomenorrhea and ovarian enlargement was studied using differential stimulation and suppression of adrenal cortex and ovaries. Although baseline urinary 17-ketosteroid levels were elevated, the patient exhibited normal adrenocortical suppression and stimulation and no increase in urinary 17-ketosteroids during the administration of dexamethasone combined with HCG. At laparotomy a benign cystic teratoma involving the entire left ovary was found. The right ovary had a characteristic polycystic appearance. A left oophorectomy and wedge resection of the right ovary were performed. Cyclic menses with biphasic temperature curves occurred for the first time after surgery, and pregnancy was established in 8 months. The patient's atypical response to dexamethasone and HCG and the possible role of the teratoma in the pathophysiology of her hirsutism are discussed.
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