Jung Eun Jung, Im Do Hwa, Park Yong Hee, Byun Jung Mi, Kim Young Nam, Jeong Dae Hoon, Sung Moon Su, Kim Ki Tae, An Hyo Jung, Jung Soo Jin, Lee Kyung Bok
Department of Obstetrics and Gynecology, Inje University Busan Paik Hospital, Busan, Korea.
Paik Institute for Clinical Research, Inje University Busan Paik Hospital, Busan, Korea.
Obstet Gynecol Sci. 2017 Jul;60(4):378-382. doi: 10.5468/ogs.2017.60.4.378. Epub 2017 Jul 14.
Disorders of sex development (DSD) are congenital conditions characterized by atypical development of chromosomal, gonadal, and phenotypic sex. 46, XY DSD can result from disorders of testicular development or disorders of androgen synthesis/action. Prophylactic gonadectomy should be considered in patients with 46, XY DSD because of the increased risk of gonadal malignancy. We report two rare cases of 46, XY DSD, including XY pure gonadal dysgenesis and complete androgen insensitivity syndrome, who underwent a prophylactic gonadectomy.
性发育障碍(DSD)是一种先天性疾病,其特征为染色体、性腺及表型性别的发育异常。46,XY DSD可由睾丸发育障碍或雄激素合成/作用障碍引起。由于性腺恶性肿瘤风险增加,对于46,XY DSD患者应考虑预防性性腺切除术。我们报告了两例罕见的46,XY DSD病例,包括XY单纯性腺发育不全和完全性雄激素不敏感综合征,这两名患者均接受了预防性性腺切除术。