Difficulties and Errors of Differential Diagnostics Androgen-Secreting Tumors of the Addrum and Ovary on The Example of Clinical Case. Results of Treatment

Abstract

Androsteroma, a hormonally active virializing tumor from the reticular layer of the adrenal cortex, is extremely rare. Variolating ovarian tumors -sertolistromalnokletochnye and steroid cell are also a rare pathology, although they are more common with androsteroma. Androsteroma and virializing ovarian tumors do not differ in the clinical picture. Therefore, the differential diagnosis of these tumors is difficult. However, the determination of the level of androgens and their fractions in the blood, which has become routine in recent years, makes it possible to suspect a source of virilization. Tumor cell secretion androgens and their fractions depends on the origin of the tumor, which is very important to consider when differential diagnosis. Visualization androgensekretiruyusch her tumor and performed echo graphically (US), by computer or magnetic resonance imaging (CT, MRI) of the adrenal glands and organs of a small pelvis and helps in the selection of surgical intervention. The available literature mainly contains a description of individual cases of virializing GTC Hawley, and in publications is not met examples of differential diagnostic errors [1-5].