关键词: Hormonal replacement Sex cord tumour with annular tubules Surgery True hermaphroditism

Mesh : Male Female Humans Adolescent Ovarian Neoplasms / complications diagnosis surgery Ovotesticular Disorders of Sex Development / complications diagnosis surgery Sex Cord-Gonadal Stromal Tumors / complications diagnosis surgery Prognosis

来  源:   DOI:10.1186/s12905-022-02137-7

Abstract:
True hermaphroditism is a rare condition. It is defined as the presence of both testicular and ovarian tissues in the same individual. Sex cord tumour with annular tubules (SCTAT) is a rare stromal tumour of the sex cord that occurs mostly in the ovaries.
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.
摘要:
背景:真正的两性畸形是一种罕见的疾病。它被定义为睾丸和卵巢组织在同一个人中的存在。具有环状小管的性索肿瘤(SCTAT)是一种罕见的性索间质肿瘤,主要发生在卵巢中。
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。
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