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[A woman with a pure seminoma and a contralateral intratubular germinal neoplasm. A case report].
- Source :
-
Cirugia y cirujanos [Cir Cir] 2017 May - Jun; Vol. 85 (3), pp. 245-249. Date of Electronic Publication: 2016 Mar 17. - Publication Year :
- 2017
-
Abstract
- Background: Androgen insensitivity syndrome is an X-linked disorder, and is characterised by a female phenotype in a chromosomally male individual. It usually occurs in puberty with primary amenorrhoea or as an inguinal tumour in a female infant. In recent years, it is often also diagnosed in fertility clinics in adulthood.<br />Objective: The case is presented of a pure seminoma in a woman with the reference diagnosis of inguinal hernia.<br />Clinical Case: A 53 year old woman, who was operated on in 2014 due to a nodule in left groin. Androgen insensitivity syndrome was corroborated, and histopathology reported it as a right testicular seminoma.<br />Discussion: The importance of early diagnosis is discussed, highlighting the consequences of misdiagnosis, and question whether these patients have been adequately treated in the past. The risk of malignant transformation of an undescended testicle increases with age, thus gonadectomy should be performed after puberty, and in some cases hormone replacement therapy.<br /> (Copyright © 2016 Academia Mexicana de Cirugía A.C. Publicado por Masson Doyma México S.A. All rights reserved.)
- Subjects :
- Androgen-Insensitivity Syndrome blood
Androgen-Insensitivity Syndrome diagnosis
Biomarkers, Tumor blood
Chorionic Gonadotropin blood
Delayed Diagnosis
Diagnostic Errors
Dysgerminoma diagnosis
Early Detection of Cancer
Female
Hernia, Inguinal complications
Humans
Luteinizing Hormone blood
Magnetic Resonance Imaging
Male
Ovarian Neoplasms diagnosis
Seminoma blood
Seminoma etiology
Testicular Neoplasms blood
Testicular Neoplasms etiology
Testosterone blood
Androgen-Insensitivity Syndrome complications
Cryptorchidism complications
Gonadal Dysgenesis, 46,XY complications
Neoplasms, Multiple Primary diagnosis
Seminoma diagnosis
Testicular Neoplasms diagnosis
Subjects
Details
- Language :
- Spanish; Castilian
- ISSN :
- 2444-054X
- Volume :
- 85
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Cirugia y cirujanos
- Publication Type :
- Academic Journal
- Accession number :
- 26997294
- Full Text :
- https://doi.org/10.1016/j.circir.2015.10.016