USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

GYN TRIAD

Ovarian Tumor   (Sertoli-Leydig)

Ovarian tumor: typically the onset has been rapid without positive family
history.

Abrupt-onset    virilization

Pelvic  mass

↑↑  testosterone    levels

Examination.    Physical    examination will    show    evidence    of  virilization.   An

adnexal mass    will    be  palpated    on  pelvic  examination.

Laboratory  tests.  Testosterone    level   is  markedly    elevated.

Imaging.    Pelvic  U/S will    show    an  adnexal mass.

Management. Surgical    removal of  the mass,   usually a   Sertoli-Leydig  or  hilus

cell    tumor.