Virilization caused by an ectopic XXXX located behind the iliopsoas muscle.

@entity5 @entity1 @entity342
OBJECTIVE: Virilization due to @entity342 -secreting @entity5 in @entity1 is a result of @entity342 overproduction from benign or @entity5 that are found in the ovaries or rarely in the adrenal glands. @entity5 that arise from ectopic adrenal tissue are extremely rare. We describe a very rare case of an ectopic @entity342 -producing @entity5 . DESIGN: Case report study. SETTING: Endocrinology outpatient department of university-affiliated teaching hospital. @entity1 (S): A 45-year-old @entity1 with symptoms of virilization of abrupt onset and rapid progression, with high serum @entity342 hormone levels and normal glucocorticoid secretion. INTERVENTION(S): Basal hormonal levels, stimulation and suppression tests, imaging techniques, and selective venous sampling. MAIN OUTCOME MEASURE(S): Localization and surgical removal of the source of @entity342 production. RESULT(S): An ectopic mass was detected behind the left iliopsoas muscle. The @entity1 was operated on and an oblong-shaped lesion, weighing 6 g, was removed. Histologically, the tissue was identified to be of adrenal origin. Postoperatively the @entity342 levels decreased to normal levels. CONCLUSION(S): This case illustrates difficulties in detecting and localizing the rare contingence of an ectopic adrenocortical @entity342 -secreting @entity5 .
