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  • Relato de Caso

    Recurrent Luteoma of Pregnancy with Maternal and Fetal Virilization

    Revista Brasileira de Ginecologia e Obstetrícia. 2001;23(8):535-539

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    Relato de Caso

    Recurrent Luteoma of Pregnancy with Maternal and Fetal Virilization

    Revista Brasileira de Ginecologia e Obstetrícia. 2001;23(8):535-539

    DOI 10.1590/S0100-72032001000800009

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    Luteomas of pregnancy are ovarian pseudotumors diagnosed by ultrasound, during cesarean section or at postdelivery tubal ligation. Twenty-five per cent of the cases appear around the second half of pregnancy. Usually there are signs of maternal virilization and 50% are detected because female newborns show clitorimegaly and/or labial fusion. The concentrations of androgenic steroids in the maternal blood during pregnancy and in the cord blood at child-birth show significantly increased rates. The ultrasound shows solid or cystic-solid structures and few weeks after the delivery they decrease and the ovary size returns to normal. The authors report a case of a patient who exhibited virilization signs in two consecutive pregnancies as well as in the two female fetuses. At adnexal sonographic examination a solid tumoral image was found in both pregnancies. Serum androgen levels were increased.

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    Recurrent Luteoma of Pregnancy with Maternal and Fetal Virilization

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