O-10 An Ovarian Thecoma Presenting With Post-Menopausal Virilization

    January 2025 in “ JCEM Case Reports ”
    Ceyda Dincer Yazan, Özlem Üstay
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    TLDR Ovarian thecomas can cause virilization in postmenopausal women and are treated with surgery.
    This article discusses a rare case of ovarian thecoma, a benign tumor accounting for less than 1% of ovarian tumors, in a 53-year-old postmenopausal woman who presented with hirsutism and androgenic alopecia. Despite normal dehydroepiandrosterone-sulfate levels, the patient exhibited significantly elevated serum testosterone levels. Imaging revealed a 30x18 mm right ovarian mass consistent with thecoma. The study highlights that ovarian thecomas, which are most common in peri- and postmenopausal women, can cause mild virilization and other symptoms such as post-menopausal bleeding. Surgery is the primary treatment for virilizing thecoma.
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