Abstract
A 75-year-old postmenopausal woman with virilization, as demonstrated by temporal baldness, hirsuism, and mustache is presented.Laboratory data on admission revealed polycythemia, markedly elevated plasma testosterone level (29 ng/ml), and normal 17-KS value. Abdominal echography and CT-scan revealed a solid mass of the left ovary. The presumptive diagnosis was a virilizing ovarian tumor. The patient underwent bilateral salpingo-oophorectomy. The resected left ovary measured 3×3×2 cm, and weighted 13 grams.Microscopically, both ovaries were composed of hilar cells. Postoperatively, the plasma testosterone level was recovered to the normal level. The patient has remained asymptomatic.Hilus cell tumors of the ovary are very rare. In Japan, only 4 cases have been reported on the litrature, and besides, bilateral hilus cell tumors are so rare that the case is the 3rd in the world.
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