Polycystic ovarian syndrome with unilateral cystic teratoma

Cynthia W. Cooke, Donald McEvoy, Edward E. Wallach

Research output: Contribution to journalArticlepeer-review

Abstract

A 20-year-old white female with hirsutism, oligomenorrhea and ovarian enlargement was studied using differential stimulation and suppression of adrenal cortex and ovaries. Although baseline urinary 17-ketosteroid levels were elevated, the patient exhibited normal adrenocortical suppression and stimulation and no increase in urinary 17-ketosteroids during the administration of dexamethasone combined with HCG. At laparotomy a benign cystic teratoma involving the entire left ovary was found. The right ovary had a characteristic polycystic appearance. A left oophorectomy and wedge resection of the right ovary were performed. Cyclic menses with biphasic temperature curves occurred for the first time after surgery, and pregnancy was established in 8 months. The patient’s atypical response to dexamethasone and HCG and the possible role of the teratoma in the pathophysiology of her hirsutism are discussed.

Original languageEnglish (US)
Pages (from-to)789-794
Number of pages6
JournalObstetrics and gynecology
Volume39
Issue number5
StatePublished - May 1972
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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