A Rare presentation of androgen secreting adrenal adenoma with malignant ovarian tumour
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Adrenal and ovary are the source of androgens in female.We submit a case report of a fifty two year old, nulli parous, post menopausal woman, who presented with clinical features of virilization and abdominal distension. On further evaluation, she was found to have bilateral complex ovarian mass with adrenal mass.Blood investigation showed elevated androgens with normal adrenal hormones.The differential diagnosis of synchronous ovarian tumour with functioning adrenal carcinoma/adenoma causing virilisation or malignant ovarian sex cord-stromal tumours with adrenal metastasis was made. Patient underwent staging laparotomy with total abdominal hysterectomy with bilateral salpingo-oophorectomy and left adrenalectomy. HPE showed bilateral endometriod adenocarcinoma of ovary with metastasis to peritoneum and omentum with adreno cortical adenoma.Adrenal adenoma is the source adrogen.It was dual pathology which is uncomman and Adrenal adenoma that secrete androgens exclusively are extremely rare
Authors and Affiliations
Dr Naveen Reddy
Keywords
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- EP ID EP430918
- DOI 10.9790/0853-1801017071.
- Views 73
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