Thecomas or theca cell tumors are
benign
Malignancy () is the tendency of a medical condition to become progressively worse.
Malignancy is most familiar as a characterization of cancer. A ''malignant'' tumor contrasts with a non-cancerous benign tumor, ''benign'' tumor in that a malign ...
ovarian neoplasms composed only of
theca cell
The theca folliculi comprise a layer of the ovarian follicles. They appear as the follicles become secondary follicles.
The theca are divided into two layers, the theca interna and the theca externa.
Theca cells are a group of endocrine cells ...
s. Histogenetically they are classified as
sex cord-stromal tumour
Sex is the phenotypic trait, trait that determines whether a sexual reproduction, sexually reproducing animal or plant produces male or female gametes. Male plants and animals produce smaller mobile gametes (spermatozoa, sperm, pollen), while ...
s.
They are typically
estrogen
Estrogen or oestrogen is a category of sex hormone responsible for the development and regulation of the female reproductive system and secondary sex characteristics. There are three major endogenous estrogens that have estrogenic hormonal acti ...
-producing and they occur in older
women
A woman is an adult female human. Prior to adulthood, a female human is referred to as a girl (a female child or Adolescence, adolescent). The plural ''women'' is sometimes used in certain phrases such as "women's rights" to denote female hum ...
(mean age 59; 84% after
menopause
Menopause, also known as the climacteric, is the time in women's lives when menstrual periods stop permanently, and they are no longer able to bear children. Menopause usually occurs between the age of 47 and 54. Medical professionals often d ...
). (They can, however, appear before menopause.
)
60% of patients present with
abnormal uterine bleeding
Abnormal uterine bleeding (AUB), also known as (AVB) or as atypical vaginal bleeding, is vaginal bleeding from the uterus that is abnormally frequent, lasts excessively long, is heavier than normal, or is irregular. The term dysfunctional uterin ...
, and 20% have
endometrial carcinoma
Endometrial cancer is a cancer that arises from the endometrium (the lining of the uterus or womb). It is the result of the abnormal growth of cells that have the ability to invade or spread to other parts of the body. The first sign is most o ...
.
Pathologic features
Grossly, the tumour is solid and yellow.
Grossly and microscopically, it consists of the ovarian cortex.
Microscopically, the tumour cells have abundant
lipid
Lipids are a broad group of naturally-occurring molecules which includes fats, waxes, sterols, fat-soluble vitamins (such as vitamins A, D, E and K), monoglycerides, diglycerides, phospholipids, and others. The functions of lipids include ...
-filled
cytoplasm
In cell biology, the cytoplasm is all of the material within a eukaryotic cell, enclosed by the cell membrane, except for the cell nucleus. The material inside the nucleus and contained within the nuclear membrane is termed the nucleoplasm. The ...
.
References
External links
Gynaecological neoplasia
{{oncology-stub