Clinical and Experimental Reproductive Medicine

  • 제48권4호
  • /
  • Pages.380-384
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  • 2021
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  • 2233-8233(pISSN)
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  • 2233-8241(eISSN)
대한생식의학회 (The Korean Society for Reproductive Medicine)
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Delayed postpartum regression of theca lutein cysts with maternal virilization: A case report

  • Kim, Sanghwa (Department of Obstetrics and Gynecology, Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Inha (Department of Obstetrics and Gynecology, Severance Hospital, Yonsei University College of Medicine) ;
  • Park, Eunhyang (Department of Pathology, Yonsei University College of Medicine) ;
  • Rhee, Yeo Jin (Department of Obstetrics and Gynecology, Severance Hospital, Yonsei University College of Medicine) ;
  • Kim, Kyeongmin (Department of Pathology, Yonsei University College of Medicine) ;
  • Aljassim, Aminah Ibrahim (Department of Obstetrics and Gynecology, Severance Hospital, Yonsei University College of Medicine) ;
  • Park, Joo Hyun (Institute of Women's Life Medical Science, Yonsei University College of Medicine) ;
  • Lee, Jae Hoon (Institute of Women's Life Medical Science, Yonsei University College of Medicine) ;
  • Yun, Bo Hyon (Department of Obstetrics and Gynecology, Severance Hospital, Yonsei University College of Medicine) ;
  • Seo, Seok Kyo (Department of Obstetrics and Gynecology, Severance Hospital, Yonsei University College of Medicine) ;
  • Cho, Sihyun (Institute of Women's Life Medical Science, Yonsei University College of Medicine) ;
  • Choi, Young Sik (Department of Obstetrics and Gynecology, Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Byung Seok (Department of Obstetrics and Gynecology, Severance Hospital, Yonsei University College of Medicine)
  • 투고 : 2021.04.12
  • 심사 : 2021.06.16
  • 발행 : 2021.12.31
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초록

Theca lutein cysts are rare, benign lesions responsible for gross cystic enlargement of both ovaries during pregnancy. This condition is also termed hyperreactio luteinalis. Elevated human chorionic gonadotropin (hCG) levels or states of hCG hypersensitivity seem to promote these changes, which in up to 30% of patients produce clinical signs of hyperandrogenism. Given the self-limiting course of theca lutein cysts, which are subject to spontaneous postpartum resolution, conservative treatment is the mainstay of patient management. Described herein is a rare case of theca lutein cysts with maternal virilization that failed to regress by 9 months after childbirth. Surgical intervention was eventually undertaken, necessitated by adnexal torsion.

키워드

과제정보

The Korea Health Technology R&D Project of the Korea Health Industry Development Institute, funded by the Ministry of Health & Welfare, Republic of Korea (HI18C2047).

참고문헌

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