Ovarian thecoma: A very unusual cause of postmenopausal bleeding. Issue 3 (September 2021)

• Record Type: Journal Article
• Authors: Arteaga, E; Valenzuela, F; Martinez, A; Huete, A; Aspee, M
• Is Part Of: Post reproductive health. Volume 27:Issue 3(2021)
• Page Start: 175
• Page End: 177
• Publication Date: 2021-09
• Subjects: Postmenopausal bleeding and menopause -- thecoma; Menopause -- Periodicals; Older women -- Diseases -- Periodicals; 612.665
• DOI: 10.1177/20533691211016698
• Languages: English
• ISSNs: 2053-3691

Abstract

We describe a 67-year-old woman with postmenopausal bleeding having ceased estrogen plus progestogen therapy nine months before. Transvaginal ultrasonography showed endometrial thickening with normal ovarian appearance. Hormonal studies revealed high estradiol and inhibin B levels but normal androgens and adrenal hormones. Magnetic resonance image demonstrated a 13-mm left ovarian tumour. Hysterectomy and bilateral salpingo-oophorectomy were performed, and the pathological study revealed an 8 mm ovarian thecoma. This case illustrates a very unusual cause of postmenopausal bleeding. We suggest a study protocol and discuss the differential diagnosis of this case.