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SEMINAR 4 :   OVARIAN TUMORS
A.  B1.  B2.  B3.  C.  D.  E.  F.  F1. 


Case History- Ovarian Enlargement and Endocrine Manifestations

Your next patient has hirsutism and evidence of androgen excess. Note the hair growth on the chin and the oily skin. Serum testosterone and cortisol should be tested in this patient. Your differential diagnosis includes:





Her testosterone level returns at 90 ug/dl (upper limits of normal) and she has a normal 24 hour urinary free cortisol level which rules out Cushing's syndrome. The following is the ultrasound appearance of her ovaries.

Polycystic ovary-pearl necklace sign Polycystic ovary-pearl necklace sign. Underlying the bladder is the ovary with a classical polycystic appearance often referred to as a "pearl necklace
Credits: Paula Woodward, M.D.

The following are appropriate options :

Click on your choice:
 A. reexamine in a month

 B. oral contraceptive pills and spironolactone.

 C. bilateral oophorectomy

 D. electrolysis, waxing, and shaving




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