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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Main Authors: Manu Goyal (Author), Shuchita Batra (Author), Pratibha Singh (Author), Shashank Shekhar (Author), Poonam Elhence (Author)
Format: Book
Published: Wolters Kluwer Medknow Publications, 2019-01-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Manu Goyal  |e author 
700 1 0 |a Shuchita Batra  |e author 
700 1 0 |a Pratibha Singh  |e author 
700 1 0 |a Shashank Shekhar  |e author 
700 1 0 |a Poonam Elhence  |e author 
245 0 0 |a Swyer syndrome with heterotopic adrenal cortical tissue in streak gonads: A rare case and review of literature 
260 |b Wolters Kluwer Medknow Publications,   |c 2019-01-01T00:00:00Z. 
500 |a 0974-1208 
500 |a 1998-4766 
500 |a 10.4103/jhrs.JHRS_44_19 
520 |a 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. 
546 |a EN 
690 |a adrenal tissue 
690 |a streak gonads 
690 |a swyer syndrome 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
655 7 |a article  |2 local 
786 0 |n Journal of Human Reproductive Sciences, Vol 12, Iss 4, Pp 345-347 (2019) 
787 0 |n http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2019;volume=12;issue=4;spage=345;epage=347;aulast=Goyal 
787 0 |n https://doaj.org/toc/0974-1208 
787 0 |n https://doaj.org/toc/1998-4766 
856 4 1 |u https://doaj.org/article/9b0b51b8fb044d579f368d175f2268c4  |z Connect to this object online.