Miscellaneous tumour-like lesions of the ovary: cross-sectional imaging review

Luteoma of pregnancy is a rare, benign condition characterized by a tumor-like mass of the ovary that emerges during pregnancy and regresses spontaneously after delivery. It is usually asymptomatic and the diagnosis is generally incidental. Luteoma arises from the proliferation of luteinised cell under the influence of β-hCG and can be hormonally active, with production of androgens resulting in maternal and fetal hirsutism and virilisation. We report a case of a 25-year-old primigravida who presented at 28 weeks of gestation with virilisation symptoms. Serum androgen levels were seven-hundred-fold higher than normal. A diagnosis of pregnancy luteoma was made at the time of caesarean section. The ovarian mass, serum androgen levels, and the condition of the patient improved after delivery.

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“…An accurate diagnosis is fundamental for the management of the mother and fetus since it can be confused with ovarian malignancy [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Luteoma of Pregnancy Presenting with Severe Maternal Virilisation: A Case Report

Rapisarda

Santonocito

et al. 2016

Case Reports in Obstetrics and Gynecology

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“…11 Multiple gestation, advanced maternal age, and maternal history of polycystic ovary syndrome can increase the risk for the development of luteomas. 12 Luteomas may also result in virilization of female fetuses. 13 Although the fetus in this case was a female, evidence of virilization was not present likely on account of removal of the luteoma during the first trimester.…”

Section: Discussionmentioning

confidence: 99%

“…11 Multiple gestation, advanced maternal age, and maternal history of polycystic ovary syndrome can increase the risk for the development of luteomas. 12…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Benign Luteomas of Pregnancy Masquerading as Malignancy

Devlin

Payton

Rubino

et al. 2020

Journal of Diagnostic Medical Sonography

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A luteoma is a benign ovarian mass that can have malignant characteristics on sonography. Pelvic sonography is used to help distinguish benign from malignant masses. The workup of adnexal masses during pregnancy may involve the use of both transabdominal and transvaginal sonography as well as Doppler imaging, magnetic resonance imaging, and serum tumor markers to identify the risk of malignancy. This study presents a case of a benign ovarian luteoma of pregnancy detected during sonography. The mass was removed during the first trimester due to malignant sonographic features. Counseling and treatment regarding ovarian masses should consist of a multidisciplinary team made up of physicians in maternal-fetal medicine, radiology, neonatology, and sonographers.

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“…The classical findings of this rare entity include bilateral enlarged ovaries with multiple cysts, ascites, and pleural effusion. Ovarian torsion or rupture may complicate OHSS ( 10 ). The differential diagnosis includes polycystic ovarian disease, but this can be differentiated with clinical and other laboratory findings.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous ovarian hyperstimulation syndrome with primary hypothyroidism: Imaging a rare entity

Ilanchezhian

Mohan

Ramachandran

et al. 2015

Radiology Case Reports

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Ovarian hyperstimulation syndrome is a disorder associated with ovulation induction and is rarely seen in pregnant women. Very few cases of spontaneous ovarian hyperstimulation syndrome have been reported in a woman who is neither pregnant nor undergoing ovulation therapy. This case report describes how spontaneous ovarian hyperstimulation syndrome is associated with primary hypothyroidism in a 25-year-old, nonpregnant woman who is not on ovulation induction therapy. Imaging and laboratory findings confirmed the diagnosis of this rare entity, which aided the clinicians in providing prompt management and in preventing further complications.

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Miscellaneous tumour-like lesions of the ovary: cross-sectional imaging review

Cited by 19 publications

References 37 publications

Luteoma of Pregnancy Presenting with Severe Maternal Virilisation: A Case Report

Luteoma of Pregnancy Presenting with Severe Maternal Virilisation: A Case Report

A Rare Case of Benign Luteomas of Pregnancy Masquerading as Malignancy

Spontaneous ovarian hyperstimulation syndrome with primary hypothyroidism: Imaging a rare entity

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