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1.(MeSH)A gonadal stromal neoplasm composed only of THECA CELLS, occurring mostly in the postmenopausal OVARY. It is filled with lipid-containing spindle cells and produces ESTROGENS that can lead to ENDOMETRIAL HYPERPLASIA; UTERINE HEMORRHAGE; or other malignancies in postmenopausal women and sexual precocity in girls. When tumors containing theca cells also contain FIBROBLASTS, they are identified as thecoma-fibroma tumors with less active hormone production.
Ovarian Diseases - Cancer of Endocrine Gland, Cancer of the Endocrine Gland, Carcinoma of Endocrine Gland, Endocrine Cancer, Endocrine Gland Cancer, Endocrine Gland Carcinoma, Endocrine Gland Neoplasms, Neoplasms, Endocrine Gland - Female Genital Neoplasms, Genital Neoplasms, Female - Gonadal Tissue Neoplasms, Neoplasms, Gonadal Tissue[Hyper.]
Cancer of Ovary, Cancer of the Ovary, Neoplasms, Ovarian, Ovarian Cancer, Ovarian Neoplasms, Ovary Cancer, Ovary Neoplasms - Gynandroblastoma, Sex Cord-Gonadal Stromal Tumors, Sex Cord-Stromal Tumor[Hyper.]
Thecoma (n.)
[MeSH]
| Thecoma | |
|---|---|
| Classification and external resources | |
![]() High magnification micrograph of a thecoma. H&E stain. |
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| ICD-9 | 220 |
| ICD-O: | 8600 |
| MeSH | D013798 |
Thecomas or theca cell tumors are benign ovarian neoplasms composed only of theca cells. Histogenetically they are classified as sex cord-stromal tumours.
They are typically estrogen-producing and they occur in older women (mean age 59; 84% after menopause). (They can, however, appear before menopause.[1])
Sixty percent of patients present with abnormal uterine bleeding, and 20% have endometrial carcinoma.
Grossly, the tumour is solid and yellow.
Grossly and microscopically, it compress of the ovarian cortex.
Microscopically, the tumour cells have abundant lipid-filled cytoplasm.
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