{"title":"Ovarian stromal hyperthecosis: An underestimated virilizing disorder in postmenopausal women","authors":"Ons Boudaouara , Anis Sellami , Pascal Roger","doi":"10.1016/j.ando.2025.101800","DOIUrl":null,"url":null,"abstract":"<div><div>Ovarian stromal hyperthecosis is an uncommon non-neoplastic ovarian disorder resulting in excessive androgen production and virilization. We report two cases of ovarian stromal hyperthecosis in postmenopausal women. Both complained of symptoms of virilization, with high serum testosterone levels. Pelvic imaging showed homogenous ovaries of normal or increased size. Ovarian venous sampling was performed in one patient and found a left-to-right androgen concentration gradient. Both women underwent first-line bilateral oophorectomy. Pathology found bilateral ovarian stromal hyperthecosis. Postoperatively, clinical and biological hyperandrogenism resolved within few months. Hyperthecosis is a benign virilizing condition almost always involving both ovaries. Numerous virilizing diseases, and especially androgen-producing neoplasms, have to be ruled out before considering this diagnosis.</div></div>","PeriodicalId":7917,"journal":{"name":"Annales d'endocrinologie","volume":"86 5","pages":"Article 101800"},"PeriodicalIF":2.9000,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annales d'endocrinologie","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0003426625001192","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
Abstract
Ovarian stromal hyperthecosis is an uncommon non-neoplastic ovarian disorder resulting in excessive androgen production and virilization. We report two cases of ovarian stromal hyperthecosis in postmenopausal women. Both complained of symptoms of virilization, with high serum testosterone levels. Pelvic imaging showed homogenous ovaries of normal or increased size. Ovarian venous sampling was performed in one patient and found a left-to-right androgen concentration gradient. Both women underwent first-line bilateral oophorectomy. Pathology found bilateral ovarian stromal hyperthecosis. Postoperatively, clinical and biological hyperandrogenism resolved within few months. Hyperthecosis is a benign virilizing condition almost always involving both ovaries. Numerous virilizing diseases, and especially androgen-producing neoplasms, have to be ruled out before considering this diagnosis.
期刊介绍:
The Annales d''Endocrinologie, mouthpiece of the French Society of Endocrinology (SFE), publishes reviews, articles and case reports coming from clinical, therapeutic and fundamental research in endocrinology and metabolic diseases. Every year, it carries a position paper by a work-group of French-language endocrinologists, on an endocrine pathology chosen by the Society''s Scientific Committee. The journal is also the organ of the Society''s annual Congress, publishing a summary of the symposia, presentations and posters. "Les Must de l''Endocrinologie" is a special booklet brought out for the Congress, with summary articles that are always very well received. And finally, we publish the high-level instructional courses delivered during the Henri-Pierre Klotz International Endocrinology Days. The Annales is a window on the world, keeping alert clinicians up to date on what is going on in diagnosis and treatment in all the areas of our specialty.