Asunto(s)
Neoplasias de las Glándulas Suprarrenales , Ganglioneuroma , Neoplasias de las Glándulas Suprarrenales/diagnóstico , Neoplasias de las Glándulas Suprarrenales/cirugía , Femenino , Ganglioneuroma/diagnóstico , Ganglioneuroma/cirugía , Humanos , Hallazgos Incidentales , Persona de Mediana EdadRESUMEN
Virilizing tumors are rare disorders that commonly develop in the adrenal cortex or the ovaries. Because these tumors are usually millimetric, androgen-secreting ovarian tumors can be particularly difficult to identify through commonly available imaging techniques and can thus pose a diagnostic challenge. We present the case of a 71-year-old woman who presented with severe clinical hyperandrogenism and biochemical traits suggestive of an ovarian source but who was diagnosed with a 10-cm adrenal mass.
Asunto(s)
Adenoma/diagnóstico , Neoplasias de las Glándulas Suprarrenales/diagnóstico , Gonadotropinas Hipofisarias/fisiología , Neoplasias Primarias Secundarias/diagnóstico , Enfermedades del Ovario/diagnóstico , Posmenopausia , Virilismo/etiología , Adenoma/complicaciones , Adenoma/cirugía , Neoplasias de las Glándulas Suprarrenales/complicaciones , Neoplasias de las Glándulas Suprarrenales/cirugía , Adrenalectomía , Anciano , Andrógenos/sangre , Andrógenos/metabolismo , Carcinoma de Células Transicionales , Acetato de Ciproterona/uso terapéutico , Dexametasona , Diagnóstico Diferencial , Reacciones Falso Negativas , Femenino , Hormona Liberadora de Gonadotropina/antagonistas & inhibidores , Humanos , Hallazgos Incidentales , Neoplasias Primarias Secundarias/complicaciones , Enfermedades del Ovario/complicaciones , Enfermedades del Ovario/fisiopatología , Pamoato de Triptorelina , Neoplasias de la Vejiga Urinaria , Virilismo/sangreRESUMEN
Los tumores virilizantes son poco frecuentes, proceden del ovario o de la corteza adrenal. El diagnóstico etiológico es en ocasiones muy complejo debido a que los tumores ováricos secretores de andrógenos son habitualmente de tamaño milimétrico y no se detectan mediante las pruebas de imagen convencionales. Presentamos el caso de una paciente de 71 años de edad con hiperandrogenismo grave de perfil típicamente ovárico, en la que se detectó una masa adrenal de 10 cm (AU)
Virilizing tumors are rare disorders that commonly develop in the adrenal cortex or the ovaries. Because these tumors are usually millimetric, androgen-secreting ovarian tumors can be particularly difficult to identify through commonly available imaging techniques and can thus pose a diagnostic challenge. We present the case of a 71-year-old woman who presented with severe clinical hyperandrogenism and biochemical traits suggestive of an ovarian source but who was diagnosed with a 10cm adrenal mass (AU)
Asunto(s)
Humanos , Femenino , Anciano , Adenoma/diagnóstico , Neoplasias de las Glándulas Suprarrenales/diagnóstico , Gonadotropinas Hipofisarias/fisiología , Neoplasias Primarias Secundarias/diagnóstico , Enfermedades del Ovario/diagnóstico , Posmenopausia , Virilismo/etiología , Adenoma/complicaciones , Adenoma/cirugía , Neoplasias de las Glándulas Suprarrenales/complicaciones , Neoplasias de las Glándulas Suprarrenales/cirugía , Adrenalectomía , Andrógenos/sangre , Andrógenos , Carcinoma de Células Transicionales , Acetato de Ciproterona/uso terapéutico , Dexametasona , Diagnóstico Diferencial , Reacciones Falso Negativas , Hormona Liberadora de Gonadotropina/antagonistas & inhibidores , Hallazgos Incidentales , Neoplasias Primarias Secundarias/complicaciones , Enfermedades del Ovario/complicaciones , Enfermedades del Ovario/fisiopatología , Pamoato de Triptorelina , Neoplasias de la Vejiga Urinaria , Virilismo/sangreRESUMEN
BACKGROUND: Liposuction can aggravate metabolic complications associated with obesity. It has been shown that the recovery of weight lost through these interventions is associated with body fat redistribution toward the visceral cavity, increasing metabolic risk factors for coronary heart disease such as insulin resistance and high triglyceride levels. OBJECTIVES: The aim of this study was to evaluate the consequences of liposuction on body mass redistribution and metabolic parameters 6 months after surgery and to evaluate the use of orlistat treatment (tetrahydrolipstatin) in controlling these parameters. METHODS: A population of 31 women with a mean body mass index of 26.17+/-3.9 kg/m(2) and undergoing liposuction of more than 1,000 cm(3), was studied. Twelve of them were treated postsurgery with 120 mg of orlistat every 8 hours for the following 6 months. Anthropometric, analytical, and radiological (computed tomography) tests were performed to quantify visceral fat area before surgery and 6 months after surgery. RESULTS: Despite weight loss after liposuction, visceral fat was not modified. Patients treated with orlistat showed a greater reduction in visceral fat, although not statistically significant. Orlistat use induced a reduction in low-density lipoprotein cholesterol values of 20.0+/-22.5 mg/dL, compared with an increase of 8.46+/-20.1 mg/dL in controls (p=.07). CONCLUSIONS: Visceral fat does not decrease despite weight loss after liposuction. Orlistat use postliposuction might be a useful tool because it shows a tendency to reduce visceral fat and improve blood lipids profile.