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雄激素不敏感综合征伴浆液性性腺囊肿

Androgen insensitivity syndrome with serous gonadal cyst.

作者信息

Yanai Yoko, Hiroi Hisahiko, Osuga Yutaka, Fujimoto Akihisa, Momoeda Mikio, Yano Tetsu, Taketani Yuji

机构信息

Department of Obstetrics and Gynecology, the University of Tokyo, Tokyo, Japan.

出版信息

Fertil Steril. 2008 Nov;90(5):2018.e9-11. doi: 10.1016/j.fertnstert.2008.06.009. Epub 2008 Aug 9.

Abstract

OBJECTIVE

To present a patient with androgen insensitivity syndrome with serous gonadal cyst who underwent laparoscopic surgery.

DESIGN

Case report.

SETTING

University hospital.

PATIENT(S): An 18-year-old female with a history of primary amenorrhea.

INTERVENTION(S): Laparoscopic gonadectomy.

MAIN OUTCOME MEASURE(S): Diagnosis and surgical approach to gonadal cyst.

RESULT(S): Ultrasound and magnetic resonance imaging revealed the presence of a 4-cm cystic smooth mass close to the right external iliac vein and artery. We performed laparoscopic bilateral gonadectomy. The pathological findings suggested that the serous gonadal cyst was formed by occlusion of the glandular duct in the right gonad.

CONCLUSION(S): We reported a case of laparoscopic gonadectomy for cystic mass in the gonad of a patient with androgen insensitivity syndrome.

摘要

目的

介绍一名患有雄激素不敏感综合征并伴有浆液性性腺囊肿的患者接受腹腔镜手术的情况。

设计

病例报告。

地点

大学医院。

患者

一名18岁有原发性闭经病史的女性。

干预措施

腹腔镜性腺切除术。

主要观察指标

性腺囊肿的诊断及手术方法。

结果

超声和磁共振成像显示在右髂外静脉和动脉附近有一个4厘米的囊性光滑肿块。我们进行了腹腔镜双侧性腺切除术。病理结果提示浆液性性腺囊肿是由右性腺腺管阻塞形成的。

结论

我们报告了一例对雄激素不敏感综合征患者性腺内囊性肿块进行腹腔镜性腺切除术的病例。

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