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.
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机译：我们报告了一例黄体化昏迷的一名58岁的绝经后妇女，其表现为进行性雄激素功能和持续一年的高血压。她的体重或食欲没有明显变化。她的血清总睾丸激素水平为4.5 ng / mL。超声扫描显示子宫大小正常，右侧卵巢实性肿块为5 cm×5 cm。左卵巢正常。她进行了全腹子宫切除术，双侧输卵管卵巢切除术和网膜切除术。组织学检查证实了黄体化性昏迷的诊断。该病例说明有必要考虑将黄体化卵巢昏迷的罕见可能性作为更年期妇女男性化的原因。
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