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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Bilateral Gonadal Cysts and Late Diagnosis of Androgen Insensitivity Syndrome Treated by Laparoscopic Gonadectomy
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Bilateral Gonadal Cysts and Late Diagnosis of Androgen Insensitivity Syndrome Treated by Laparoscopic Gonadectomy

机译：腹腔镜下性腺切除术治疗双侧性腺囊肿和雄激素不敏感综合征的晚期诊断

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Background. Complete androgen insensitivity syndrome is a rare syndrome in which the uterus is absent and testes rather than ovaries are present. Patients usually visit a gynecologist due to primary amenorrhea.Case. A forty-eight-year-old woman with lower abdominal pain and anamnesis of uterus agenesis was operated on due to bilateral cystic masses. A 5 × 3 × 1.2 cm left adnexal cyst revealed the presence of a serous cyst with a hypoplastic ductus deferens. A smaller cyst of the right adnexa revealed immature testis tissue with Leydig-cell hyperplasia. After karyotype and hormonal examinations, laparoscopic gonadectomy was performed.Conclusion. Attention should be paid in all cyst-removing operations in cases of uterus agenesis, due to the high incidence of malignancy. Not of less importance is the issue of informing the patient in the most appropriate way.
机译：背景。完全雄激素不敏感综合征是一种罕见的综合征，其中子宫缺失并且存在睾丸而不是卵巢。由于原发性闭经，患者通常会去妇科医生就诊。一名四十八岁的妇女因腹部双侧囊性肿块而进行了下腹部疼痛和子宫发育不全的回忆手术。一个5×3×1.2 cm的左附件囊肿表明存在浆液性囊肿，伴有输精管畸形。右附件较小的囊肿显示睾丸组织未成熟，伴有睾丸间质细胞增生。在进行了核型和激素检查后，进行了腹腔镜性腺切除术。由于恶性肿瘤的高发，在子宫发育不全的情况下，应在所有的囊肿切除术中给予注意。同样重要的是以最适当的方式告知患者的问题。

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