Thu646 Postmenopausal Hyperandrogenism Secondary To Ovarian Leydig Cell Tumor

    October 2023 in “ Journal of the Endocrine Society
    Jennifer Tania Batch, Gunjan Y. Gandhi
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    Studysummary This case report details a 73-year-old woman with significant hirsutism and hair loss linked to a rare ovarian Leydig cell tumor, which was resolved by bilateral salpingo-oophorectomy, normalizing her testosterone levels and addressing her symptoms.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    A 73-year-old postmenopausal woman presented with significant scalp hair loss and hirsutism, leading to social withdrawal. She had a high total testosterone level of 511 ng/dL, while other hormone levels were normal. An MRI revealed a 1.8 cm left ovarian nodule, diagnosed as a Leydig cell tumor. After bilateral salpingo-oophorectomy, her testosterone levels normalized, and her symptoms improved. Leydig cell tumors are rare, accounting for less than 0.1% of ovarian tumors, and are typically benign. Bilateral oophorectomy is recommended for postmenopausal women with suspected ovarian sources of hyperandrogenism.
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