비만환자에서 발견된 난소의 Steroid Cell Tumor 1예
A Case of Ovarian Steroid Cell Tumor with Obesity
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초록
난소의 steroid cell tumor는 전체 난소종양의 0.1% 미만을 차지하는 드문 질환으로 아형으로는 stromal luteomas, hilus cell tumors, Leydig cell tumors (non-hilar type) 및 steroid cell tumors not otherwise specified (이하 SCT-NOS) 등으로 분류할 수 있다. 주요 증상으로는 다모증, 무월경, 비만, 머리털결여증, 고혈압, 남성호르몬 증가에 따른 남성화 등이 있다. 저자 등은 비만과 무월경을 주소로 아주대학교 산부인과에 입원한 40세 환자에서 좌측난소의 steroid cell tumor 1예를 경험하였기에 간단한 문헌 고찰과 함께 보고하는 바이다.
Abstract
Ovarian steroid cell tumors are composed exclusively of cells that have the histologic features of steroid hormone secreting cells. And these are rare lesions and have been divided into four subtyes according to their size, location in the ovary, and presence or absence of crystals of Reinke in the cytoplasm as follows: stromal luteomas, hilus cell tumors, Leydig cell tumors (non-hilar type), and steroid cell tumors not otherwise specified. Steroid cell tumors often secret androgens, and manifest themselves with symptoms of virilization. Other presenting manifestations include hirsutism, amenorrhea, obesity, hypertension and alopecia. We experienced a case of ovarian steroid cell tumor, manifested by obesity and amenorrhea and present with a brief review of the literatures.
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