Androgen Secreting Steroid Cell Tumor of the Ovary Presented with Postmenopausal Bleeding and Extensive Hirsutism

    Jadranka Georgievska, Vesna Antovska, Neli Basheska, Natasha Aleksioska
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    TLDR A woman's excessive hair growth and high testosterone were caused by a rare ovarian tumor, which was successfully treated with surgery.
    In 2013, a study was conducted on a 69-year-old woman who presented with postmenopausal bleeding, a 5-year history of excessive hirsutism, baldness, and acne. The patient was found to have elevated serum testosterone and a 2 cm mass in her left ovary. The diagnosis was a steroid cell tumor, a rare type of ovarian tumor that accounts for less than 0.1% of all ovarian tumors. The patient underwent a hysterectomy and bilateral adnexectomy, followed by postoperative chemotherapy. After 48 months, the patient's hirsutism had completely resolved, her serum testosterone levels were normal, and there was no evidence of tumor recurrence. The study concluded that in adult patients with hirsutism and elevated serum testosterone, the possibility of an ovarian steroid cell tumor should be considered. Surgery was identified as the primary treatment.
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