PMC9897934_01
(a) Androgenetic alopecia. (b) Hirsutism (recent depilation). (c) Hirsutism and grade 1 acne on the face. (d) Hirsutism on the abdomen (approximately 4 points on the Ferriman-Gallwey scale). (e) Clitoromegaly and hirsutism on the vulvar region (recent depilation). (f) Male pattern hair growth on the lower limbs.
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fig1
In addition, the patient complained of alopecia, hirsutism, and clitoromegaly (Figure 1), as well as deepening of the voice, increased muscle mass, and muscle pain.
(a) Ovarian adenofibroma on the right ovary. (b) Cystic swelling on the left ovary: serous cystadenofibroma. (c) Clusters of luteinized cells (arrows) on the ovarian stroma; hematoxylin-eosin 400x. (d) Cluster of luteinized stromal cells (arrow) and adjacent stromal edema.
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fig2
At macroscopic examination of the surgical specimen, the right ovary appeared normal, with an ovarian cyst being found on the left ovary (Figure 2). An adenofibroma of 1.1 cm was found on the right ovary (Figure 2).