<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412021001100009</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i11.5577</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hipertecosis estromal ovárica: reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Ovaric stromal hypertecosis: a case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mandón-Ortiz]]></surname>
<given-names><![CDATA[María Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sepúlveda-Agudelo]]></surname>
<given-names><![CDATA[Janer]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>89</volume>
<numero>11</numero>
<fpage>905</fpage>
<lpage>912</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021001100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021001100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021001100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  La hipertecosis estromal ovárica es un tumor androgenizante del ovario, raro, que puede manifestarse como: hiperandrogenismo, carcinoma de endometrio, obesidad e hipertensión. En la bibliografía solo se encuentran algunos reportes de casos y pequeñas series de casos.  CASO CLÍNICO:  Paciente de 20 años, con sangrado vaginal continuo, hirsutismo, clitoromegalia, implantación androide del vello púbico y facial. En la ecografía del ovario derecho se advirtió una lesión sólida en su interior. Concentraciones elevadas de testosterona libre, testosterona e hidroxiprogesterona. Se sospechó un tumor androgenizante del ovario. Se practicó la salpingooforectomía derecha por vía laparoscópica. El reporte de patología fue: parénquima ovárico con extensos nidos de células estromales luteinizadas con hiperplasia estromal. Diagnóstico: hipertecosis estromal.  CONCLUSIÓN:  Ante la coexistencia de signos de virilización, alteración en la regularidad y frecuencia del ciclo menstrual, con altas concentraciones de andrógenos y una lesión tumoral ovárica en el estudio ecográfico debe sospecharse hipertecosis estromal ovárica. El tratamiento de elección es la resección quirúrgica del ovario afectado. Debido al bajo potencial de malignidad de estas lesiones puede considerarse el acceso laparoscópico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND:  Ovarian stromal hyperthecosis is a rare ovarian androgenizing tumor that can manifest as hyperandrogenism, endometrial carcinoma, obesity and hypertension. Only a few case reports and small case series are found in the literature.  CLINICAL CASE:  20-year-old patient with continuous vaginal bleeding, hirsutism, clitoromegaly, and android implantation of pubic and facial hair. Ultrasonography of the right ovary showed a solid lesion inside the ovary. Elevated concentrations of free testosterone, testosterone and hydroxyprogesterone. An ovarian androgenizing tumor was suspected. A laparoscopic right salpingo-oophorectomy was performed. The pathology report was ovarian parenchyma with extensive nests of luteinized stromal cells with stromal hyperplasia. Diagnosis: stromal hyperthecosis.  CONCLUSION:  In the coexistence of signs of virilization, alteration in the regularity and frequency of the menstrual cycle, with high concentrations of androgens and an ovarian tumor lesion in the ultrasound study, ovarian stromal hyperthecosis should be suspected. The treatment of choice is surgical resection of the affected ovary. Due to the low malignant potential of these lesions, laparoscopic access can be considered.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tumor androgenizante de ovario]]></kwd>
<kwd lng="es"><![CDATA[hiperandrogenismo]]></kwd>
<kwd lng="es"><![CDATA[carcinoma de endometrio]]></kwd>
<kwd lng="es"><![CDATA[obesidad]]></kwd>
<kwd lng="es"><![CDATA[hipertensión]]></kwd>
<kwd lng="es"><![CDATA[hemorragia vaginal]]></kwd>
<kwd lng="es"><![CDATA[hirsutismo]]></kwd>
<kwd lng="es"><![CDATA[ovario]]></kwd>
<kwd lng="es"><![CDATA[ultrasonografía]]></kwd>
<kwd lng="es"><![CDATA[testosterona]]></kwd>
<kwd lng="en"><![CDATA[Ovarian androgenizing tumor]]></kwd>
<kwd lng="en"><![CDATA[Hyperandrogenism]]></kwd>
<kwd lng="en"><![CDATA[Endometrial carcinoma]]></kwd>
<kwd lng="en"><![CDATA[Obesity]]></kwd>
<kwd lng="en"><![CDATA[Hypertension]]></kwd>
<kwd lng="en"><![CDATA[Vaginal bleeding]]></kwd>
<kwd lng="en"><![CDATA[Hirsutim]]></kwd>
<kwd lng="en"><![CDATA[Ovary]]></kwd>
<kwd lng="en"><![CDATA[Ultrasonography]]></kwd>
<kwd lng="en"><![CDATA[Testosterone]]></kwd>
</kwd-group>
</article-meta>
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