Ignored adult primary hypothyroidism presenting chiefly with persistent ovarian cysts: a need for increased awareness
<p>Abstract</p> <p>Background</p> <p>Ovarian cysts are a common cause for gynecological surgery. However, some cysts are a direct result of endocrine disorders and do not require surgery. This report describes an unusual case in which persistent ovarian cysts are associ...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2011-08-01
|
Series: | Reproductive Biology and Endocrinology |
Online Access: | http://www.rbej.com/content/9/1/119 |
id |
doaj-0824a2c5dca84df0add3086a542ac1c2 |
---|---|
record_format |
Article |
spelling |
doaj-0824a2c5dca84df0add3086a542ac1c22020-11-25T01:26:56ZengBMCReproductive Biology and Endocrinology1477-78272011-08-019111910.1186/1477-7827-9-119Ignored adult primary hypothyroidism presenting chiefly with persistent ovarian cysts: a need for increased awarenessFang SuhuaZhang LingyanXing LiliShu JingHuang Hefeng<p>Abstract</p> <p>Background</p> <p>Ovarian cysts are a common cause for gynecological surgery. However, some cysts are a direct result of endocrine disorders and do not require surgery. This report describes an unusual case in which persistent ovarian cysts are associated with primary hypothyroidism in a young woman. The data were collected by history-taking, physical examination, laboratory tests, ultrasound, magnetic resonance imaging and a histo-pathological study. In addition, the exons of the gene encoding the human follicle-stimulating hormone receptor were sequenced.</p> <p>Discussion</p> <p>The patient had markedly elevated levels of thyroid-stimulating hormone and follicle-stimulating hormone and an enlarged pituitary gland. After treatment with thyroid hormone replacement, regression of the enlarged pituitary and the ovarian cysts was observed. The possible mechanisms of the pathophysiology are discussed below.</p> <p>Summary</p> <p>It is necessary to consider hypothyroidism and other endocrine disorders in the differential diagnosis of adult patients with ovarian multiple cyst formation in order to prevent inadvertent ovarian surgery.</p> http://www.rbej.com/content/9/1/119 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Fang Suhua Zhang Lingyan Xing Lili Shu Jing Huang Hefeng |
spellingShingle |
Fang Suhua Zhang Lingyan Xing Lili Shu Jing Huang Hefeng Ignored adult primary hypothyroidism presenting chiefly with persistent ovarian cysts: a need for increased awareness Reproductive Biology and Endocrinology |
author_facet |
Fang Suhua Zhang Lingyan Xing Lili Shu Jing Huang Hefeng |
author_sort |
Fang Suhua |
title |
Ignored adult primary hypothyroidism presenting chiefly with persistent ovarian cysts: a need for increased awareness |
title_short |
Ignored adult primary hypothyroidism presenting chiefly with persistent ovarian cysts: a need for increased awareness |
title_full |
Ignored adult primary hypothyroidism presenting chiefly with persistent ovarian cysts: a need for increased awareness |
title_fullStr |
Ignored adult primary hypothyroidism presenting chiefly with persistent ovarian cysts: a need for increased awareness |
title_full_unstemmed |
Ignored adult primary hypothyroidism presenting chiefly with persistent ovarian cysts: a need for increased awareness |
title_sort |
ignored adult primary hypothyroidism presenting chiefly with persistent ovarian cysts: a need for increased awareness |
publisher |
BMC |
series |
Reproductive Biology and Endocrinology |
issn |
1477-7827 |
publishDate |
2011-08-01 |
description |
<p>Abstract</p> <p>Background</p> <p>Ovarian cysts are a common cause for gynecological surgery. However, some cysts are a direct result of endocrine disorders and do not require surgery. This report describes an unusual case in which persistent ovarian cysts are associated with primary hypothyroidism in a young woman. The data were collected by history-taking, physical examination, laboratory tests, ultrasound, magnetic resonance imaging and a histo-pathological study. In addition, the exons of the gene encoding the human follicle-stimulating hormone receptor were sequenced.</p> <p>Discussion</p> <p>The patient had markedly elevated levels of thyroid-stimulating hormone and follicle-stimulating hormone and an enlarged pituitary gland. After treatment with thyroid hormone replacement, regression of the enlarged pituitary and the ovarian cysts was observed. The possible mechanisms of the pathophysiology are discussed below.</p> <p>Summary</p> <p>It is necessary to consider hypothyroidism and other endocrine disorders in the differential diagnosis of adult patients with ovarian multiple cyst formation in order to prevent inadvertent ovarian surgery.</p> |
url |
http://www.rbej.com/content/9/1/119 |
work_keys_str_mv |
AT fangsuhua ignoredadultprimaryhypothyroidismpresentingchieflywithpersistentovariancystsaneedforincreasedawareness AT zhanglingyan ignoredadultprimaryhypothyroidismpresentingchieflywithpersistentovariancystsaneedforincreasedawareness AT xinglili ignoredadultprimaryhypothyroidismpresentingchieflywithpersistentovariancystsaneedforincreasedawareness AT shujing ignoredadultprimaryhypothyroidismpresentingchieflywithpersistentovariancystsaneedforincreasedawareness AT huanghefeng ignoredadultprimaryhypothyroidismpresentingchieflywithpersistentovariancystsaneedforincreasedawareness |
_version_ |
1725108014054113280 |