Luteomas of pregnancy are a rare non-neoplastic condition in which luteinized stroll cells in the ovary markedly increase in size. Luteomas are hormonally active, and produce testosterone resulting in maternal and potentially fetal hirsutism and virilization.
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Epidemiology
More common in both multiparous and African women. It is bilateral in 1/3 of cases 1.
Associations
- hirsutism
Clinical presentation
Often an incidental finding at cesarean section. They range in size from microscopic to 20 cm in size 1.
Radiographic features
Ultrasound
- they appears as a solid ovarian mass, possibly multiple and bilateral 1.
- may show central necrosis
- difficult to differentiate from other solid masses in the ovary, clinical picture is necessary
Treatment and prognosis
They are thought to regress spontaneously after delivery.
Differential diagnosis
- luteinized thecoma
- granulosa cell tumor
- Leydig cell tumor