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[Swyer syndrome: report of 5 cases]
R Ben Temime1, A Chechia, L Attia
1Service de gynécologie obstétrique A, hôpital Charles-Nicolle, 1006 Tunis, Tunisie. temime_r@yahoo.fr
Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|February 5, 2008
Summary
Swyer's syndrome, a 46 XY disorder, affects phenotypic females with abnormal testicular development. Early gonad removal is crucial due to a high risk of gonadal cancer.
Area of Science:
- Endocrinology
- Genetics
- Reproductive Medicine
Background:
- Swyer's syndrome is a rare disorder characterized by a 46 XY karyotype in individuals with a female phenotype.
- It represents a form of pure gonadal dysgenesis with abnormal embryonic testicular differentiation and regression.
Observation:
- This study details five phenotypic female patients with XY karyotype and gonadal dysgenesis.
- Patients presented with primary amenorrhea, underdeveloped secondary sexual characteristics, and female external genitalia.
Findings:
- Elevated Follicle-Stimulating Hormone (FSH) levels were observed (mean 80.5).
- Surgical findings included streak fibrous gonads, with two cases of gonadoblastoma and one of dysgerminoma in a 13-year-old.
- The mean age of the patients was 17.6 years.
Implications:
- The high incidence of gonadal neoplasia in Swyer's syndrome necessitates prompt prophylactic gonadectomy.
- Early diagnosis and management are critical for these patients.
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