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Laparoscopic simultaneous bilateral adrenalectomy for testosterone‐secreting bilateral adrenal tumors
Author(s) -
Suzuki Takahisa,
Furuse Hiroshi,
Kurita Yutaka,
Ushiyama Tomomi,
Mugiya Soichi,
Ozono Seiichiro,
Oki Yutaka
Publication year - 2014
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/iju.12172
Subject(s) - medicine , adrenalectomy , hirsutism , testosterone (patch) , surgery , laparoscopy , bilateral adrenalectomy , urology , insulin resistance , polycystic ovary , insulin
Laparoscopic adrenalectomy is widely accepted as a safe and minimally‐invasive procedure. Although it is a standard procedure for the surgical treatment of adrenal tumors, its simultaneous use with bilateral adrenalectomy is relatively rare. A 21‐year‐old woman was referred to Hamamatsu University School of Medicine University Hospital complaining of a deepening voice, hirsutism and secondary amenorrhea. Abdominal computed tomography showed bilateral adrenal tumors, and hormonal examinations showed that the tumors secreted excessive testosterone, resulting in virilizing symptoms. Laparoscopic simultaneous bilateral adrenalectomy was carried out. Postoperatively, serum testosterone levels immediately recovered to within the normal range. Menstruation began the month after the operation, and the hirsutism gradually regressed. This is the third reported case of bilateral virilizing adrenal tumors, and the first to be successfully treated with laparoscopic simultaneous bilateral adrenalectomy.