Gross ovary showing partially cystic, partially solid mass
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 cells undergoing hyperplasia. ') )
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CASE BACKGROUND
34 year old pregnant female with PCOD and enlarged bilateral ovaries and left adnexal mass
LOP (LUTEOMA OF PREGNANCY)
♦ LOPs are usually an incidental finding in third trimester pregnant patients, usually are found at time of C-section or postpartum tubal ligation♦ Generally resolve after delivery
♦ Often associated with hilus cell hyperplasia and thus can cause virilization/masculinization in the mother and/or female infant
♦ Microscopically, basically see nodular theca-lutein cell hyperplasia admixed with follicle like spaces
♦ Luteinized theca cells have eosinophilic cytoplasm (smaller than hilus cells), are round to spindled, with single prominent nucleoli (can be slightly pleomorphic with mitoses)
RELATED CASES/FURTHER READING
Ovary : Luteoma of PregnancyFor questions, comments or feedback on this case: editor@surgpath4u.com