Pickel H, Tscherne G
Zentralbl Gynakol. 1987;109(10):663-72.
Gonadoblastomas have a propensity to give rise to malignant germ cell neoplasms. This report analyzes the clinicopathologic findings in two phenotypic females with features of 46, XY pure gonadal dysgenesis, who developed dysgerminomas in gonadoblastomas. All stages in the evolution of the dysgerminomas from the germ cells in gonadoblastomas were observed. The pathogenesis of the XY gonadal dysgenesis is briefly discussed. Finally the strict recommendation is given to remove the streak gonads with and without tumors in such individuals.
性腺母细胞瘤易于引发恶性生殖细胞肿瘤。本报告分析了两名具有46, XY单纯性腺发育不全特征的表型女性的临床病理表现,她们在性腺母细胞瘤中发生了无性细胞瘤。观察到了无性细胞瘤从性腺母细胞瘤中的生殖细胞演变的各个阶段。简要讨论了XY性腺发育不全的发病机制。最后,给出了严格建议,即对此类个体无论有无肿瘤均切除条索状性腺。