ダウンロード数: 33261
タイトル: | 真性半陰陽の4例 |
その他のタイトル: | Four cases of true hermaphroditism |
著者: | 佐野, 克行 寺島, 和光 田中, 祐吉 佐々木, 佳郎 |
著者名の別形: | Sano, Katsuyuki Terashima, Kazumitsu Tanaka, Yukichi Sasaki, Yoshirou |
キーワード: | True hermaphroditism Mosaic Ovotestis |
発行日: | Jan-1995 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 41 |
号: | 1 |
開始ページ: | 73 |
終了ページ: | 77 |
抄録: | 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. |
URI: | http://hdl.handle.net/2433/115424 |
PubMed ID: | 7900574 |
出現コレクション: | Vol.41 No.1 |
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