Bilateral Incidental Gonadoblastoma in a Woman with Swyer Syndrome Presenting with Primary Amenorrhea

Swyer syndrome is a very rare cause of primary amenorrhea. Affected individuals have an XY karyotype but their external and internal genitalia are of the female type. The gonads are usually replaced by fibrous streaks. Early diagnosis is vital because of the significant risk of germ cell tumor, and...

Full description

Bibliographic Details
Main Authors: Shahram Shabaninia, Seyed Reza Yahyazadeh, Amin Azadfar, Mahrouz Amirheydari
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2018-05-01
Series:Case Reports in Clinical Practice
Subjects:
Online Access:https://crcp.tums.ac.ir/index.php/crcp/article/view/135
Description
Summary:Swyer syndrome is a very rare cause of primary amenorrhea. Affected individuals have an XY karyotype but their external and internal genitalia are of the female type. The gonads are usually replaced by fibrous streaks. Early diagnosis is vital because of the significant risk of germ cell tumor, and bilateral gonadectomy should be performed. Laparoscopy provides a minimally invasive approach for the management of these cases. These patients can have a normal sexual intercourse and they need hormone replacement therapy for development of breast and prevention of osteoporosis. They can conceive through oocyte donation and artificial reproductive techniques.    
ISSN:2538-2683
2538-2691