腹腔镜下切除患有斯维尔综合征患者的发育异常性腺中的性腺母细胞瘤。

Laparoscopic removal of dysgenetic gonads containing a gonadoblastoma in a patient with Swyer syndrome.

作者信息

Wilson E E, Vuitch F, Carr B R

机构信息

Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas.

出版信息

Obstet Gynecol. 1992 May;79(5 ( Pt 2)):842-4.

PMID:1533025

Abstract

Dysgenetic streak gonads were removed laparoscopically from a phenotypic female with Swyer syndrome (ie, XY karyotype, sexual infantilism, primary amenorrhea, and müllerian structures). Pathologic examination revealed a small (3 mm) gonadoblastoma in one of her gonads without evidence of malignant transformation. The patient tolerated the procedure well and was back at work the next day. We propose that laparoscopy is a safe, cost-effective, and simple procedure to perform on individuals requiring prophylactic gonadectomy for the prevention of neoplasia.

摘要

通过腹腔镜手术，从一名患有斯维尔综合征（即XY核型、性幼稚、原发性闭经和苗勒管结构）的表型女性身上切除了发育不全的条索状性腺。病理检查发现其一侧性腺中有一个小（3毫米）的性腺母细胞瘤，无恶变证据。患者对该手术耐受性良好，第二天就回去工作了。我们认为，对于需要进行预防性性腺切除术以预防肿瘤形成的个体，腹腔镜检查是一种安全、经济有效且简单的手术。