A 16-year-old girl presented to the gynaecology department with primary amenorrhea. Gynaecological examination revealed an enlarged clitoris that looked like a small penis. The chromosome karyotype was chimaera. The postoperative pathology confirmed true hermaphroditism with SCTAT. The patient underwent hormonal replacement after an operation and had no evidence of recurrence for 6 months.
Cases of true hermaphroditism with SCTAT are extremely rare conditions. Surgery and hormonal replacement are important for improving the prognosis of such patients.
方法:一名16岁女孩因原发性闭经就诊于妇科。妇科检查显示阴蒂扩大,看起来像一个小阴茎。染色体核型为嵌合体。术后病理证实为SCTAT真两性畸形。该患者在手术后接受了激素替代治疗,并且在6个月内没有复发的证据。
结论:SCTAT的真两性畸形病例极为罕见。手术和激素替代对于改善此类患者的预后很重要。