A Case of Mixed Gonadal Dysgenesis. |
Byung Ran Yun1, Jae Il Sohn1, Sei Won Yang1, Hyung Ro Moon1, Je Geun Chi2 |
1Departments of Pediatrics, College of Medicine, Seoul National University 2Department of Pathology, College of Medicine, Seoul National University |
혼함 성선 이형성 1례 |
윤병란1, 손재일1, 양세원1, 문형로1, 지제근2 |
1서울대학교 의과대학 소아과학교실 2서울대학교 의과대학 병리학교실 |
Received: 29 August 1988 • Accepted: 29 August 1988 |
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Abstract |
Mixed gonadal dysenesis is a disorder of sexual differentiation which is characterized by streak
gonad associated with contralateral tesis, persistent Mullerian duct structures and/or sex
chromosomal mosaicism most commonly with 45, X/46, XY.
The authors experienced a case of mixed gonadal dysgensis in a 6-year old child who was reared
as female and admitted due to clitoral enlargement.
The patient had asymmetrical gonads consisted with testis in the right and streak gonad in the left,
and persistent Mullerian duct structures-small uterus, fallopian tube and vagina confirmed by
exploratory laparotomy and pathologic examination. The karyotyping revealed mosaicism, 45, X/46,
XY. |
Key Words:
Clitoral enlargement, Mixed gonadal dysgenesis, Sex chromosomal mosaicicsm |
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