1. Mixed gonadal dysgenesis with gonadoblastoma diagnosed by prophylactic laparoscopic gonadectomy: A case report.
- Author
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TAKUTO UYAMA, IEMASA KOH, TOMOKI KOMOSHITA, AYAKO MATSUSHIMA, RYO OHARA, ARISA NOMURA, YUKA ENOKIZONO, YUKI SATO, KOSUKE NAKAMOTO, HIROHIKO MORIOKA, YURIKO OOMORI, YUKO TERAOKA, SUGURU NOSAKA, KATSUYUKI TOMONO, MASAKI SEKINE, TOMOMI YAMAZAKI, YURIKA MUKAI, KOUJI BANNO, HIROKI KURAHASHI, and YOSHIKI KUDO
- Subjects
GONADAL dysgenesis ,CASTRATION ,VULVA ,SEX differentiation disorders ,Y chromosome ,LAPAROSCOPIC surgery - Abstract
Mixed gonadal dysgenesis (MGD) is a disorder of sex development caused by mosaicism of the Y chromosome, represented by 45,X/46,XY. Prophylactic gonadectomy is recommended as soon as possible after its diagnosis, owing to a high risk of malignancy. In the present case, a 21-year-old woman presented with primary amenorrhea. Although the patient's external genitalia were female, the patient exhibited a hypoplastic uterus, wherein the ovaries were difficult to identify. The patient's height was 146 cm; they had cubitus valgus and webbing of the neck, leading to the consideration of a disorder of sex development. Chromosomal examination revealed 45,X/46,XY mosaicism. Thus, the patient was diagnosed with MGD. After thorough counseling, laparoscopic bilateral gonadectomy was performed. Pathological examination revealed a gonadoblastoma of the left gonad. Postoperatively, the patient had no recurrence and continued on Kaufmann therapy. In conclusion, prophylactic gonadectomy is recommended immediately following a diagnosis of MGD; however, the timing of the surgery should be carefully considered and adequate counseling should be conducted by a multidisciplinary team. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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