González-Espinosa C, Rodriguez I, Saavedra J A, López S, Galbis F
Zentralbl Gynakol. 1982;104(13):826-30.
Described in this paper is a patient, aged eleven years and eight months, with micropenis, dorsal prepuce, and rugous, partially bifid scrotum. FSH and LH values below normal were obtained from hormonal investigation. LH-RH stimulation was followed by retarded FSH response of moderate intensity, while the LH profile was moderately strong. Cytogenetic tests revealed the presence of 25 per cent of female sex chromatin. The karyotype was 46 XX. The patient did not have internal female genital organs, and his gonads were of testicular appearance. Histologically, both testicles exhibited tubules with primitive germinal cells and Sertoli cells. An inconspicuous number of Leydig cells was recorded from the interstitium.
本文描述了一名11岁8个月大的患者,患有小阴茎、背侧包皮以及粗糙、部分分叉的阴囊。激素检查显示促卵泡生成素(FSH)和促黄体生成素(LH)值低于正常水平。促性腺激素释放激素(LH-RH)刺激后,促卵泡生成素反应延迟且强度适中,而促黄体生成素曲线反应强度适中。细胞遗传学检测发现25%的女性性染色质。核型为46 XX。该患者没有女性内生殖器,其性腺外观为睾丸。组织学检查显示,两个睾丸均有含有原始生殖细胞和支持细胞的小管。间质中可见数量不明显的睾丸间质细胞。