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Title: 真性半陰陽の4例
Other Titles: Four cases of true hermaphroditism
Authors: 佐野, 克行  KAKEN_name
寺島, 和光  KAKEN_name
田中, 祐吉  KAKEN_name
佐々木, 佳郎  KAKEN_name
Author's alias: Sano, Katsuyuki
Terashima, Kazumitsu
Tanaka, Yukichi
Sasaki, Yoshirou
Keywords: True hermaphroditism
Issue Date: Jan-1995
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 41
Issue: 1
Start page: 73
End page: 77
Abstract: 真性半陰陽の4例を報告した。この疾患の治療は, 性の決定という問題を含んでいるために難しいが, 外観のみにとらわれず, 染色体, 性器の組織, 内部構造などのすべてを総合的に判断して行うべきである
We report four cases of true hermaphroditism. The first patient (legal sex female, karyotype of 46, XX/46, XY, bilateral ovotestis) was changed to a male at 2 years old. The second patient (karyotype of 46, XX/47, XXY/48, XXYY, hypospadia, and right undescended testis) was referred to us at 6 months old, and turned out to have a uterus, an ovary on the left side and a testis on the right side. The third patient (6 months old, karyotype of 46, XX/46, XY, hypospadia) had an ovotestis on the right side and a testis on the left side. The fourth patient (1 year and 6 months old, a karyotype of 46, XX, hypospadia) had bilateral ovotestis. All four patients showed a variety of responses of testosterone to human chorionic gonadotropin stimulation. They were grown as males. It is difficult to treat a case of true hermaphroditism including determination of sex. We should consider the results of chromosomal analysis, hormone values, imaging studies and histology of gonads, and determine appropriate sex.
PubMed ID: 7900574
Appears in Collections:Vol.41 No.1

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