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首页> 外文期刊>Gynecological endocrinology: the official journal of the International Society of Gynecological Endocrinology >Unexpected diagnosis of stage IIA dysgerminoma in streak gonad in a patient with Swyer syndrome: a case report
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Unexpected diagnosis of stage IIA dysgerminoma in streak gonad in a patient with Swyer syndrome: a case report

机译：威士忌综合征患者中患者中Steak Gonad阶段Iia Dysgerminom的意外诊断：案例报告

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摘要

Patients with Swyer syndrome, which is also known as 46,XY pure gonadal dysgenesis, are at an increased risk of gonadoblastoma and germ cell tumor. Prophylactic gonadectomy is recommended for these patients. We report a case of stage IIA dysgerminoma arising in a streak gonad in a patient with Swyer syndrome, which was not diagnosable preoperatively and intraoperatively. The patient was primarily amenorrheic and identified as female phenotypically. She underwent gonadectomy at 27 years of age. Preoperative image analysis showed a relatively small uterus without adnexal masses. Laparoscopic findings showed bilateral streak gonads. Postoperatively, histopathological examination revealed that the patient had dysgerminoma in her left streak gonad. Preoperative and intraoperative diagnosis of dysgerminoma in normal size ovaries is thought to be difficult. Although it is rare, considering the occurrence of dysgerminoma in streak gonad with extension to the mesosalpinx, prompt prophylactic gonadectomy is strongly recommended for these patients regardless of the size of the ovaries.
机译：患有威霉菌综合征的患者，其也称为46，XY纯粹性腺缺陷症是促性腺细胞瘤和生殖细胞肿瘤的风险。推荐用于这些患者的预防性促导术。我们举报了一种患有Swyer综合征的患者的Steak Gonad中出现的IIA阶段疾病的病例，其在术前和术中未被诊断起来。患者主要是常剧性的，并鉴定为女性表型。她在27岁时接受了淋病术。术前图像分析显示出含有侧态肿块的相对小的子宫。腹腔镜调查结果显示了双侧条纹的Gonads。术后，组织病理学检查表明，患者在她的左侧条纹的Gonad中有脱蛋白酶。认为常规尺寸卵巢的术前和术中诊断似乎是困难的。虽然很少见，但考虑到条纹性能的延伸，延伸到卵黄素，不论卵巢的大小如何，都会强烈推荐促进预防性促导腺切除术。

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