Hong J R, Barber M, Scott C I, Guttenberg M, Wolfson P J
Department of Surgery, Alfred I duPont Institute, Wilmington, DE 19899, USA.
J Pediatr Surg. 1995 Dec;30(12):1735-7. doi: 10.1016/0022-3468(95)90468-9.
The authors report the case of bilateral gonadoblastomas in a phenotypic female, with a 46,XY karyotype, with campomelic dysplasia. Although campomelic dysplasia with gonadal dysgenesis should be expected to contribute to an increased risk of gonadoblastoma, this is the first documented case report of campomelic dysplasia and gonadoblastoma. Phenotypic females with campomelic dysplasia should be karyotyped once the skeletal dysplasia is recognized. phenotypic females with campomelic dysplasia should undergo gonadectomy if their karyotype includes a Y chromosome or fragment.
作者报告了一名表型为女性、核型为46,XY且患有弯肢侏儒症的双侧性腺母细胞瘤病例。虽然预计伴有性腺发育不全的弯肢侏儒症会增加性腺母细胞瘤的发病风险,但这是首例记录在案的弯肢侏儒症与性腺母细胞瘤并存的病例报告。一旦识别出骨骼发育异常,患有弯肢侏儒症的表型女性就应进行核型分析。患有弯肢侏儒症的表型女性,如果其核型包含Y染色体或片段,则应接受性腺切除术。