一名45,X/46,XY男性，接受过睾丸固定术，在21年随访后被诊断为混合性生殖细胞肿瘤。

A 45,X/46,XY Male with Orchidopexy Diagnosed with Mixed Germ Cell Tumor After 21-year Follow-up.

作者信息

Kubota Masashi, Terada Naoki, Ito Katsuhiro, Takada Hideaki, Magaribuchi Toshihiro, Sawada Atsuro, Akamatsu Shusuke, Negoro Hiromitsu, Saito Ryoichi, Kobayashi Takashi, Yamasaki Toshinari, Inoue Takahiro, Ogawa Osamu

机构信息

Department of Urology, Kyoto University Hospital, Kyoto, Japan.

出版信息

Urol Case Rep. 2017 May 5;13:120-122. doi: 10.1016/j.eucr.2017.04.001. eCollection 2017 Jul.

DOI:10.1016/j.eucr.2017.04.001

PMID:28491817

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5423312/

Abstract

A case of a 45,X/46,XY boy with gonadal dysgenesis is presented. The patient showed hypospadias and right undescended testis. He underwent underwent repair surgery for hypospadias, right orchidopexy, and bilateral testicular biopsy. Testicular biopsy revealed no malignant finding. He was followed-up annually by scrotum palpation. When the patient grew up to 24 years old, he was diagnosed to have right testicular tumor. High orchiectomy revealed pT1 seminoma. The management of undescended testis in men with gonadal dysgenesis and disordered sexual development is discussed.

摘要

本文报告一例患有性腺发育不全的45,X/46,XY男孩。患者表现为尿道下裂和右侧隐睾。他接受了尿道下裂修复手术、右侧睾丸固定术和双侧睾丸活检。睾丸活检未发现恶性病变。每年通过阴囊触诊对他进行随访。当患者长到24岁时，被诊断出患有右侧睾丸肿瘤。高位睾丸切除术显示为pT1期精原细胞瘤。本文讨论了性腺发育不全和性发育障碍男性隐睾的处理方法。