lq2006
Forum Elite
Topics: 43
Posts: 382
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A 57-year-old woman comes to the physician
because of a 2-year
history of increasing menstrual flow. She has not had
hot flashes,
insomnia, or change in bowel or bladder function. Her
last menstrual period
was 2 weeks ago. Pelvic examination shows a
normal-appearing vulva,
vagina, and cervix. The uterus is consistent in size
with an 8-week
gestation. Bimanual examination shows a 4-cm, firm,
nontender left ovary. An
endometrial biopsy specimen shows atypical complex
endometrial
hyperplasia. Which of the following is the most likely
cause of this patient's
hyperplasia?
A
) Adrenal adenoma
B
) Brenner tumor
C
) Carcinoid tumor
D
) Granulosa cell tumor
E
) Hyperthecosis
F
) Islet cell tumor
G
) Sertoli-Leydig cell tumor
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| PGI2alpha
Forum Elite
Topics: 7
Posts: 447
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D...granulosa cell tumor...they produce estrogen...so increased and conitnuous exposure to estrogen leading to endometrial hyperplasia
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| lq2006
Forum Elite
Topics: 43
Posts: 382
|
I agree.
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| fafa
Forum Newbie
Topics: 0
Posts: 11
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I also agree with it
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| Janka
Forum Senior
Topics: 29
Posts: 148
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i guessed D today  good to know it was actually right but just out of curiosity: what is a brenner tumor?my obgyn book (the big green nms book) has never heard of it
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| Janka
Forum Senior
Topics: 29
Posts: 148
|
ok, i just found it myself, just in case anyone wondered:
Brenner Tumor >>> benign, rare, unilateral transitional epithelial cell ovarian tumor. 
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