Abstract

The case of a female patient who failed to get pregnant due to delayed menstruation is reported. Gynecological examination showed that the patient had a male pubic distribution, hypertrophic clitoris, unobstructed vagina and hypertrophic cervices with smooth and medium texture. B ultrasonic examination detected a 42 x 30 mm in size medium echo mass. This mass had irregular shape, smooth surface, relatively clear boundary and hard texture. Examination with paraffin-embedded section indicated that the tumor was composed of supporting cells and to a lesser amount of interstitial components. Some regions had particle-like cell differentiation. These results suggested that the tumor was gynandroblastoma. We found that the increased level of serum testosterone in the patient was the reason for amenorrhea and infertility. The diagnosis and treatment for patients with gynandroblastoma is also discussed.

Authors

Xiao S, Xue M, Wan Y, Su Z

Institution

Department of Obstetrics and Gynecology, The Third Xiangya Hospital, Central South University, Hunan Province, China. xiaosquirrel@163.com

Source

Clinical and experimental obstetrics & gynecology 38:4 2011 pg 419-20

MeSH

Adult
Amenorrhea
Diagnosis, Differential
Female
Humans
Infertility, Female
Ovarian Neoplasms
Sex Cord-Gonadal Stromal Tumors
Testosterone

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22268290