Bilateral Ovarian Steroid Cell Tumor in a Postmenopausal Woman with Progressive Hyperandrogenism

    March 2026 in “ JCEM Case Reports
    Maria Sara Tapia Sanchiz, Alicia Justel Enríquez, Rosa Álvarez, Fernando Sebastian-Valles, Mónica Marazuela
    TLDR Surgery removed ovarian tumors, normalizing testosterone and improving symptoms.
    A 71-year-old postmenopausal woman presented with severe hyperandrogenism and progressive hirsutism, characterized by elevated testosterone levels and symptoms such as androgenic alopecia and insulin resistance. Despite normal imaging results for adrenal glands and adnexa, clinical suspicion led to a bilateral adnexectomy, which revealed a bilateral ovarian steroid cell tumor. Post-surgery, the patient's testosterone levels normalized, and her hirsutism improved progressively.
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