Swyer syndrome with heterotopic adrenal cortical tissue in streak gonads: A rare case and review of literature

Swyer syndrome is a 46 XY pure gonadal dysgenesis. Affected individuals are phenotypically female with external female genitalia, hypoplastic Mullerian structures, and the presence of streak gonads. Gonadectomy is indicated due to increased risk of development of malignancy in streak gonads. We here...

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Κύριοι συγγραφείς: Manu Goyal, Shuchita Batra, Pratibha Singh, Shashank Shekhar, Poonam Elhence
Μορφή: Άρθρο
Γλώσσα:English
Έκδοση: Wolters Kluwer Medknow Publications 2019-01-01
Σειρά:Journal of Human Reproductive Sciences
Θέματα:
Διαθέσιμο Online:http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2019;volume=12;issue=4;spage=345;epage=347;aulast=Goyal
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author Manu Goyal
Shuchita Batra
Pratibha Singh
Shashank Shekhar
Poonam Elhence
author_facet Manu Goyal
Shuchita Batra
Pratibha Singh
Shashank Shekhar
Poonam Elhence
author_sort Manu Goyal
collection DOAJ
description Swyer syndrome is a 46 XY pure gonadal dysgenesis. Affected individuals are phenotypically female with external female genitalia, hypoplastic Mullerian structures, and the presence of streak gonads. Gonadectomy is indicated due to increased risk of development of malignancy in streak gonads. We hereby report a case of 15-year-old patient with Swyer syndrome who underwent laparoscopic gonadectomy. Histopathological examination showed streak gonads with the presence of accessory adrenal cortical tissue. The patient was put on hormonal replacement therapy postsurgery. Heterotopic adrenal rest may be an incidental finding in normal ovary and testis. Its presence in streak gonads has never been reported, and we propose a theory of increased risk of gonadal and adrenal tumors, possibly because of mutations in disorders of sex differentiation.
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spelling doaj.art-9b0b51b8fb044d579f368d175f2268c42022-12-22T01:31:59ZengWolters Kluwer Medknow PublicationsJournal of Human Reproductive Sciences0974-12081998-47662019-01-0112434534710.4103/jhrs.JHRS_44_19Swyer syndrome with heterotopic adrenal cortical tissue in streak gonads: A rare case and review of literatureManu GoyalShuchita BatraPratibha SinghShashank ShekharPoonam ElhenceSwyer syndrome is a 46 XY pure gonadal dysgenesis. Affected individuals are phenotypically female with external female genitalia, hypoplastic Mullerian structures, and the presence of streak gonads. Gonadectomy is indicated due to increased risk of development of malignancy in streak gonads. We hereby report a case of 15-year-old patient with Swyer syndrome who underwent laparoscopic gonadectomy. Histopathological examination showed streak gonads with the presence of accessory adrenal cortical tissue. The patient was put on hormonal replacement therapy postsurgery. Heterotopic adrenal rest may be an incidental finding in normal ovary and testis. Its presence in streak gonads has never been reported, and we propose a theory of increased risk of gonadal and adrenal tumors, possibly because of mutations in disorders of sex differentiation.http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2019;volume=12;issue=4;spage=345;epage=347;aulast=Goyaladrenal tissuestreak gonadsswyer syndrome
spellingShingle Manu Goyal
Shuchita Batra
Pratibha Singh
Shashank Shekhar
Poonam Elhence
Swyer syndrome with heterotopic adrenal cortical tissue in streak gonads: A rare case and review of literature
Journal of Human Reproductive Sciences
adrenal tissue
streak gonads
swyer syndrome
title Swyer syndrome with heterotopic adrenal cortical tissue in streak gonads: A rare case and review of literature
title_full Swyer syndrome with heterotopic adrenal cortical tissue in streak gonads: A rare case and review of literature
title_fullStr Swyer syndrome with heterotopic adrenal cortical tissue in streak gonads: A rare case and review of literature
title_full_unstemmed Swyer syndrome with heterotopic adrenal cortical tissue in streak gonads: A rare case and review of literature
title_short Swyer syndrome with heterotopic adrenal cortical tissue in streak gonads: A rare case and review of literature
title_sort swyer syndrome with heterotopic adrenal cortical tissue in streak gonads a rare case and review of literature
topic adrenal tissue
streak gonads
swyer syndrome
url http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2019;volume=12;issue=4;spage=345;epage=347;aulast=Goyal
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