10-01-2007, 01:58 PM
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
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