Lipid Cell Tumor of Ovary

Twenty-one-year-old unmarried female came with complaints of (a) amenorrhea since 1 year. Amenorrhea was not preceded by oligomenorrhea or hypomenorrhea, (b) abnormal facial and body hair growth since 1 year, (c) abnormal weight gain and (d) male type baldness since last 6 months. Menstrual history— Menarche was at 14 years, past and present menstrual cycles were regular with average blood loss. Examination-Ht 153 cm, Wt 74 kg, BMI 31.6 kg/m.2 She had a masculine built with moon face. Male type of baldness was present. There was abnormal hair growth on the face (Fig. 1), breast around the areola, sternum, anterior abdominal wall from the xipisternum till umbilicus and on the legs. Modified Ferriman Gallwey score was 22 (more than 6-8 suggests marked hirsutism). Pulse 84/ min, BP 130/80 mmHg. There was no thyroid swelling and systemic examination was normal. Local examinationshe had moderate clitoromegaly. On per rectal examinationuterus was normal in size and no mass was palpable in the adnexa. Hence a provisional diagnosis of (1) Cushing’s syndrome (2). Androgen producing ovarian tumor was made. Investigations: Specific