Luteoma: Difference between revisions

Revision as of 11:02, 15 February 2025

A rare ovarian tumor associated with pregnancy

Luteoma

A luteoma is a rare, non-cancerous ovarian tumor that occurs during pregnancy. It is characterized by the proliferation of luteinized stromal cells in the ovary, leading to the formation of a mass. Luteomas are typically benign and resolve spontaneously after childbirth.

Pathophysiology

Luteomas arise due to hormonal changes during pregnancy, particularly the increased levels of human chorionic gonadotropin (hCG). The elevated hCG stimulates the ovarian stroma, causing the cells to luteinize and form a tumor-like mass. These tumors are usually unilateral and can vary in size.

Clinical Presentation

Most luteomas are asymptomatic and are discovered incidentally during imaging studies or at the time of cesarean section. However, some patients may present with symptoms such as abdominal pain or a palpable mass. In rare cases, luteomas can produce androgens, leading to virilization in the mother or fetus.

Diagnosis

The diagnosis of a luteoma is often made through ultrasound or magnetic resonance imaging (MRI), which can reveal a solid ovarian mass. Definitive diagnosis is usually confirmed by histological examination after surgical removal or biopsy.

Management

Luteomas generally do not require treatment as they tend to regress after delivery. Surgical intervention may be considered if there is uncertainty in diagnosis or if the mass causes significant symptoms.

Prognosis

The prognosis for luteomas is excellent, as they are benign and self-limiting. They typically resolve within a few weeks to months postpartum.

Related pages

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-'''Luteoma''' is a type of [[tumor]] that occurs in the [[ovary]], specifically in the [[luteal phase]] of the [[menstrual cycle]]. It is a rare condition, often discovered during [[pregnancy]], and is usually benign.
+{{Short description|A rare ovarian tumor associated with pregnancy}}
+{{Use dmy dates|date=October 2023}}
-== Overview ==
+==Luteoma==
+A '''luteoma''' is a rare, non-cancerous ovarian tumor that occurs during pregnancy. It is characterized by the proliferation of luteinized stromal cells in the ovary, leading to the formation of a mass. Luteomas are typically benign and resolve spontaneously after childbirth.
-Luteomas are typically characterized by their large size and solid appearance. They are often discovered during pregnancy, but can also be found in non-pregnant women. The exact cause of luteomas is unknown, but they are thought to be related to hormonal changes during the menstrual cycle.
+[[File:Luteoma-of-pregnancy.jpg|thumb|right|Luteoma of pregnancy as seen in a histological section.]]
-== Symptoms ==
+==Pathophysiology==
+Luteomas arise due to hormonal changes during pregnancy, particularly the increased levels of [[human chorionic gonadotropin]] (hCG). The elevated hCG stimulates the ovarian stroma, causing the cells to luteinize and form a tumor-like mass. These tumors are usually unilateral and can vary in size.
-The symptoms of luteoma can vary, but often include [[abdominal pain]], [[bloating]], and irregular menstrual cycles. In some cases, luteomas can cause [[virilization]] in female fetuses, leading to the development of male characteristics.
+==Clinical Presentation==
+Most luteomas are asymptomatic and are discovered incidentally during imaging studies or at the time of [[cesarean section]]. However, some patients may present with symptoms such as abdominal pain or a palpable mass. In rare cases, luteomas can produce [[androgens]], leading to [[virilization]] in the mother or fetus.
-== Diagnosis ==
+==Diagnosis==
+The diagnosis of a luteoma is often made through [[ultrasound]] or [[magnetic resonance imaging]] (MRI), which can reveal a solid ovarian mass. Definitive diagnosis is usually confirmed by histological examination after surgical removal or biopsy.
-Diagnosis of luteoma is typically made through [[ultrasound]] or [[magnetic resonance imaging]] (MRI). In some cases, a [[biopsy]] may be needed to confirm the diagnosis.
+==Management==
+Luteomas generally do not require treatment as they tend to regress after delivery. Surgical intervention may be considered if there is uncertainty in diagnosis or if the mass causes significant symptoms.
-== Treatment ==
+==Prognosis==
+The prognosis for luteomas is excellent, as they are benign and self-limiting. They typically resolve within a few weeks to months postpartum.
-Treatment for luteoma often involves [[surgery]] to remove the tumor. In some cases, [[hormone therapy]] may be used to shrink the tumor before surgery. After treatment, regular follow-up appointments are necessary to monitor for any signs of recurrence.
-== Prognosis ==
-The prognosis for luteoma is generally good, as most luteomas are benign and do not spread to other parts of the body. However, in rare cases, luteomas can become malignant and require more aggressive treatment.
-== See also ==
+==Related pages==
 * [[Ovarian tumor]]
-* [[Luteal phase]]
+* [[Pregnancy]]
-* [[Menstrual cycle]]
+* [[Hormonal changes in pregnancy]]
-* [[Virilization]]
-[[Category:Medical conditions]]
-[[Category:Oncology]]
-[[Category:Gynecology]]
-{{stub}}
+[[Category:Ovarian neoplasia]]
+[[Category:Pregnancy complications]]