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大妈7年来天天刮胡子,这个怪病能让人“变性”

2018-04-13 09:22:15    环球时报

每天早上起来刮胡子,是孙女士7年来必须要做的一件事。一周前,哈医大二院妇科二病房收治了这样一位特殊的病人。

大妈7年来天天刮胡子,这个怪病能让人“变性”

孙女士小病历

年龄:六旬

居住地:佳木斯市

症状:近7年来,除了说话声音变得越来越低沉、谢顶、全身汗毛粗重 以外,胡须生长的速度也像男人一样 ,每天早上不刮胡子就无法出门见人。

为了弄清引起身体变化的原因,孙女士走访了当地的多家医院, 然而做了几遍全身检查,都没有查出病因。

半个月前,孙女士突然阴道流血,因为绝经已经9年,而且此次流血量较大,突如其来的状况,让她有些惊慌。

尽管当地医院进行子宫内膜病理分析后为良性,但为了彻底摆脱疾病困扰,孙女士执意要切除子宫及附件,于是她来到了哈医大二院妇科二病房。

大妈7年来天天刮胡子,这个怪病能让人“变性”

副主任车建华教授发现她的特殊情况后,进行了性激素六项检查,竟发现——

孙女士的睾酮高达9.34ng/ml,不仅远远超出女性睾酮正常值近20倍,甚至已经超出男性正常值的上限。

在排除了垂体瘤、染色体或肾上腺原因导致的男性化症状后,车建华教授推测患者的状况可能是卵巢原因导致 ,并为患者及时安排了手术治疗。

术后,病理分析中发现了一个一厘米大小的卵巢类固醇细胞瘤。 正是这个小细胞瘤,导致孙女士的身体男性化。

车建华介绍——类固醇细胞瘤,是卵巢性索间质肿瘤中少见的类型,仅占卵巢肿瘤的0.1%,该病好发于育龄妇女,病因并不明确。

类固醇细胞瘤能导致女性雄激素过高,会对女性造成严重影响,如去女性化 (月经紊乱、闭经等)、男性化体征越发明显 (长胡须、嗓音变粗、出现喉结等)及代谢方面的问题(血脂、血糖变化)。

如今,经过手术治疗的孙女士仅经过一周的恢复,睾酮值已经降至正常范围内;七年来需要天天刮的胡子,已经不再长出来;谢顶的部位也开始慢慢长出头发。

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