Case Report

Ovarian Leydig Cell Hyperplasia: An Unusual Case of Virilization in a Postmenopausal Woman

Figure 1

Whole-slide sections of left (a) and right (b) ovaries display multiple eosinophilic nodules of Leydig cells (arrows). Immunohistochemistry for inhibin A highlights the nodules and identifies additional small clusters of Leydig cells (c, whole-slide section, right ovary). The nodules are composed of Leydig cells, which are polygonal with abundant granular eosinophilic cytoplasm and large vesicular nuclei (d, H&E, 400x). The Leydig cells display strong cytoplasmic staining with inhibin A (e, 400x).
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(a)
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(b)
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(c)
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(d)
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(e)