Luteinized Ovarian Thecoma in a Postmenopausal Women Presenting with Virilization

Abstract EN

We report a case of luteinizing thecoma in a 58-year-old postmenopausal woman who presented with progressive androgenic features and hypertension of one year duration.

She did not notice a significant change in her body weight or appetite.

Her total serum testosterone level was 4.5 ng/mL.

Ultrasound scan revealed a normal-sized uterus and a right-sided solid ovarian mass of 5 cm × 5 cm.

Left ovary was normal.

She had a total abdominal hysterectomy, bilateral salpingo-oophorectomy, and an omentectomy performed.

Histological examination confirmed the diagnosis of luteinized thecoma.

This case illustrates the necessity to consider the rare possibility of luteinized ovarian thecoma as a cause for virilization in a menopausal woman.