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ERKEK PSÖDOHERMAFRODİTİZMİN NADİR BİR NEDENİ: 46 XY GONADAL DİSGENEZİ (SWYER SENDROMU)

Year 2010, Volume: 23 Issue: 2, 302 - 307, 27.04.2015

Abstract

On altı yaşında kız hasta adet görmeme ve meme gelişiminin olmaması şikayeti nedeniyle başvurdu. Bazal hormonal değerlendirme sonuçları primer ovaryan yetmezlik ile uyumluydu. Ultrasonografik incelemede over ve uterus gözlenmedi. Karyotipi 46 XY olan hastanin SRY gen incelemesinde delesyon tipi mutasyon saptanmadı. Laparoskopik inceleme esnasında saptanan bilateral streak gonadlar olası gonadal tümör riski nedeniyle çıkarıldı. Bu olgu sunumu ile, puberte gecikmesi ile başvuran her adolesan kız hastada, 46 XY pür gonadal disgenezinin ayırıcı tanıda düşünülmesi gerekliliğini ve gonadal tümör gelişim riski nedeniyle erken gonadektominin önemini vurgulamak istedik. Anahtar Kelimeler: Erkek psödohermafroditizm, Gonadal disgenezi, Amenore

References

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  • Endocrinology. New York: Marcel Decker AG,
  • : 319-345.
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  • ; 25:792-796.
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  • differentiation and puberty in the male. In: Sperling
  • M, ed. Pediatric Endocrinology. Philadelphia:
  • Elsevier Science, 2002; 565-628.
  • Lee MM. Molecular genetic control of sex
  • differentiation. In: Pescovitz OH, Eugster EA, eds.
  • Pediatric Endocrinology: Mechanism,
  • Manifestations, and Manangment. Philadelphia:
  • Lippincott. Williams and Wilkins, 2004; 231-242.
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  • Cytogenet 1999; 113:78-84.
  • Radakovic B, Jukic S, Bukovic D, Ljubojevic N,
  • Cima I. Morphology of gonads in pure XY gonadal
  • dysgenesis. Coll Antropol 1999; 23:203-211.
  • Brennan J, Capel B. One tissue, two fates:
  • molecular genetic events that underlie testis versus
  • ovary development. Nat Rev Genet 2004; 5:509-
  • -
  • -
  • Marmara Medical Journal 2010;23(2);302-307
  • Ayhan Abacı, et al.
  • A rare cause of male pseudohermaphrodıtısm: 46, XY gonadal dysgenesıs (Swyer Syndrome)
  • Gao F, Maiti S, Alam N, et al. The Wilms tumor
  • gene, Wt1, is required for Sox9 expression and
  • maintenance of tubular architecture in the
  • developing testis. Proc Natl Acad Sci USA 2006;
  • :11987-11992.
  • McElreavy K, Vilain E, Abbas N, et al. XY sex
  • reversal associated with a deletion 5' to the SRY
  • "HMG box" in the testis-determining region. Proc
  • Natl Acad Sci USA 1992; 89:11016-11020.
  • Takai Y, Tsutsumi O, Harada I, et al. Case of XY
  • pure gonadal dysgenesis with 46,XYp-/47,XXYpkaryotype
  • whose gonadoblastoma was removed
  • laparoscopically. Gynecol Obstet Invest 2000;
  • :166-169.
  • Kim SK, Sohn IS, Kim JW, et al. Gonadoblastoma
  • and dysgerminoma associated with 46, XY pure
  • gonadal dysgenesis--a case report. J Korean Med
  • Sci 1993; 8:380-384.

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Year 2010, Volume: 23 Issue: 2, 302 - 307, 27.04.2015

Abstract

-

References

  • Adriana A, Gary D. Disorders of sexual
  • differentiation. In: Lifshitz F, eds. Pediatric
  • Endocrinology. New York: Marcel Decker AG,
  • : 319-345.
  • Coutin AS, Hamy A, Fondevilla M, Savigny B,
  • Paineau J, Visset J. Pure 46, XY gonadal
  • dysgenesis. J Gynecol Obstet Biol Reprod (Paris)
  • ; 25:792-796.
  • Styne D. The testes disorders of sexual
  • differentiation and puberty in the male. In: Sperling
  • M, ed. Pediatric Endocrinology. Philadelphia:
  • Elsevier Science, 2002; 565-628.
  • Lee MM. Molecular genetic control of sex
  • differentiation. In: Pescovitz OH, Eugster EA, eds.
  • Pediatric Endocrinology: Mechanism,
  • Manifestations, and Manangment. Philadelphia:
  • Lippincott. Williams and Wilkins, 2004; 231-242.
  • Uehara S, Funato T, Yaegashi N, et al. SRY
  • mutation and tumor formation on the gonads of XY
  • pure gonadal dysgenesis patients. Cancer Genet
  • Cytogenet 1999; 113:78-84.
  • Radakovic B, Jukic S, Bukovic D, Ljubojevic N,
  • Cima I. Morphology of gonads in pure XY gonadal
  • dysgenesis. Coll Antropol 1999; 23:203-211.
  • Brennan J, Capel B. One tissue, two fates:
  • molecular genetic events that underlie testis versus
  • ovary development. Nat Rev Genet 2004; 5:509-
  • -
  • -
  • Marmara Medical Journal 2010;23(2);302-307
  • Ayhan Abacı, et al.
  • A rare cause of male pseudohermaphrodıtısm: 46, XY gonadal dysgenesıs (Swyer Syndrome)
  • Gao F, Maiti S, Alam N, et al. The Wilms tumor
  • gene, Wt1, is required for Sox9 expression and
  • maintenance of tubular architecture in the
  • developing testis. Proc Natl Acad Sci USA 2006;
  • :11987-11992.
  • McElreavy K, Vilain E, Abbas N, et al. XY sex
  • reversal associated with a deletion 5' to the SRY
  • "HMG box" in the testis-determining region. Proc
  • Natl Acad Sci USA 1992; 89:11016-11020.
  • Takai Y, Tsutsumi O, Harada I, et al. Case of XY
  • pure gonadal dysgenesis with 46,XYp-/47,XXYpkaryotype
  • whose gonadoblastoma was removed
  • laparoscopically. Gynecol Obstet Invest 2000;
  • :166-169.
  • Kim SK, Sohn IS, Kim JW, et al. Gonadoblastoma
  • and dysgerminoma associated with 46, XY pure
  • gonadal dysgenesis--a case report. J Korean Med
  • Sci 1993; 8:380-384.
There are 50 citations in total.

Details

Primary Language Turkish
Journal Section Case Reports
Authors

Ayhan Abacı

Tolga Unuvar This is me

Özlem Giray This is me

Ayfer Ulgenalp This is me

Ece Bober This is me

Derya Erçal This is me

Atilla Buyukgebiz This is me

Publication Date April 27, 2015
Published in Issue Year 2010 Volume: 23 Issue: 2

Cite

APA Abacı, A., Unuvar, T., Giray, Ö., Ulgenalp, A., et al. (2015). ERKEK PSÖDOHERMAFRODİTİZMİN NADİR BİR NEDENİ: 46 XY GONADAL DİSGENEZİ (SWYER SENDROMU). Marmara Medical Journal, 23(2), 302-307.
AMA Abacı A, Unuvar T, Giray Ö, Ulgenalp A, Bober E, Erçal D, Buyukgebiz A. ERKEK PSÖDOHERMAFRODİTİZMİN NADİR BİR NEDENİ: 46 XY GONADAL DİSGENEZİ (SWYER SENDROMU). Marmara Med J. August 2015;23(2):302-307.
Chicago Abacı, Ayhan, Tolga Unuvar, Özlem Giray, Ayfer Ulgenalp, Ece Bober, Derya Erçal, and Atilla Buyukgebiz. “ERKEK PSÖDOHERMAFRODİTİZMİN NADİR BİR NEDENİ: 46 XY GONADAL DİSGENEZİ (SWYER SENDROMU)”. Marmara Medical Journal 23, no. 2 (August 2015): 302-7.
EndNote Abacı A, Unuvar T, Giray Ö, Ulgenalp A, Bober E, Erçal D, Buyukgebiz A (August 1, 2015) ERKEK PSÖDOHERMAFRODİTİZMİN NADİR BİR NEDENİ: 46 XY GONADAL DİSGENEZİ (SWYER SENDROMU). Marmara Medical Journal 23 2 302–307.
IEEE A. Abacı, T. Unuvar, Ö. Giray, A. Ulgenalp, E. Bober, D. Erçal, and A. Buyukgebiz, “ERKEK PSÖDOHERMAFRODİTİZMİN NADİR BİR NEDENİ: 46 XY GONADAL DİSGENEZİ (SWYER SENDROMU)”, Marmara Med J, vol. 23, no. 2, pp. 302–307, 2015.
ISNAD Abacı, Ayhan et al. “ERKEK PSÖDOHERMAFRODİTİZMİN NADİR BİR NEDENİ: 46 XY GONADAL DİSGENEZİ (SWYER SENDROMU)”. Marmara Medical Journal 23/2 (August 2015), 302-307.
JAMA Abacı A, Unuvar T, Giray Ö, Ulgenalp A, Bober E, Erçal D, Buyukgebiz A. ERKEK PSÖDOHERMAFRODİTİZMİN NADİR BİR NEDENİ: 46 XY GONADAL DİSGENEZİ (SWYER SENDROMU). Marmara Med J. 2015;23:302–307.
MLA Abacı, Ayhan et al. “ERKEK PSÖDOHERMAFRODİTİZMİN NADİR BİR NEDENİ: 46 XY GONADAL DİSGENEZİ (SWYER SENDROMU)”. Marmara Medical Journal, vol. 23, no. 2, 2015, pp. 302-7.
Vancouver Abacı A, Unuvar T, Giray Ö, Ulgenalp A, Bober E, Erçal D, Buyukgebiz A. ERKEK PSÖDOHERMAFRODİTİZMİN NADİR BİR NEDENİ: 46 XY GONADAL DİSGENEZİ (SWYER SENDROMU). Marmara Med J. 2015;23(2):302-7.