Abstract
Ovarian venous sampling is a minimally invasive procedure used to localize androgen-secreting ovarian tumors, namely, Sertoli-Leydig cell and Leydig cell tumors. When combined with adrenal vein sampling, virilizing adrenal masses are also localized. This test is useful if diagnostic imaging and laparoscopy fail to identify the lesion. The test is performed by cannulating the bilateral adrenal and ovarian veins, obtaining blood samples from each, which are analyzed for testosterone. The test is technically challenging, and there are no consensus guidelines for result interpretation. Therefore, while ovarian venous sampling is not routinely used in clinical practice to identify unilateral sources of hyperandrogenism, it has been shown to be effective in select cases.
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Commander, C.W. (2022). Ovarian Venous Sampling for Hyperandrogenism. In: Yu, H., Burke, C.T., Commander, C.W. (eds) Diagnosis and Management of Endocrine Disorders in Interventional Radiology. Springer, Cham. https://doi.org/10.1007/978-3-030-87189-5_8
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DOI: https://doi.org/10.1007/978-3-030-87189-5_8
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