Two patients with marginal symptoms showing hyperthecosis at the edge of malignancy: Presentation of two cases [İki farkli{dotless} semptom ve malignensi riski ile yansi{dotless}yan hipertekozis: Iki vaka sunumu]

It is important to define the aetiology of increased levels of androgens in women. ovarian stromal hyperplasia (osh) and ovarian hyperthecosis (oht) are non-neoplastic pathologies. they show the excess of androgen production and have a wide clinical range like hirsutism,virilisation,abnormal menses,obesity,hypertension and insulin resistance. ovarian stromal hyperplasia and hyperthecosis are commonly seen in postmenopausal women and generally involve both ovaries. laboratory testing is the gateway; testosterone and dehydroepiandrosterone sulphate (dhea-s) are the first hormones that should be measured. osh and oht could also be a reason for endometrial malignancy by unopposed oestrogenic status. hyperthecosis must be differentiated from several other diseases,especially malignant conditions,and the treatment for postmenopausal women should be bilateral oophorectomy. © 2013 by the turkish-german gynecological education and research foundation.