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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Delayed Menopause Due to Ovarian Granulosa Cell Tumour
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Delayed Menopause Due to Ovarian Granulosa Cell Tumour

机译：卵巢颗粒细胞瘤导致更年期推迟

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A patient presented to us with complaints of inability to attain menopause even at the age of 64. She has been having irregular cycles of bleeding for 5 days every 2-3 months from the age of 54. On evaluation, she was found to have endometrial hyperplasia and ultrasonography showed a homogenous solid ovarian mass of size of the 4 cm x 3.5 cm. She underwent staging laparotomy with total abdominal hysterectomy bilateral salpingo-oophorectomy and infra colic omentectomy. Histopathology confirmed granulosa cell tumour of the ovary. Most commonly granulosa cell tumour presented with post?menopausal bleeding and abnormal uterine bleeding, however, women with delayed menopause also have to be evaluated thoroughly for estrogen secreting ovarian tumours. There should be an element of suspicion if patient doesn?t attain menopause as specified and they need to be evaluated in detail.
机译：一名患者向我们投诉，甚至在64岁时也无法达到更年期。从54岁开始，她每2-3个月有5天不规则出血周期。经评估，发现她患有子宫内膜增生和超声检查显示大小为4厘米x 3.5厘米的均质固体卵巢肿块。她接受了全腹全子宫切除术，双侧输卵管卵巢切除术和腹膜下网膜切除术的分期剖腹手术。组织病理学证实卵巢颗粒细胞瘤。绝经后出血和子宫异常出血最常见的是颗粒细胞瘤，但是，更年期延迟的女性也必须彻底评估雌激素分泌性卵巢肿瘤。如果患者未达到指定的更年期，则应该有怀疑的元素，需要对其进行详细评估。

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