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European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Seminoma leading to detection of testicular feminization syndrome: a case report
S. Nakamura1, H. Tsujioka1, *, T. Fukami1, M. Goto1, R. Matsuoka1, F. Eguchi1
1 Department of Obstetrics and Gynecology, Iizuka Hospital, Iizuka, Fukuoka, Japan
Eur. J. Gynaecol. Oncol. 2017, 38(1), 153–156; https://doi.org/10.12892/ejgo3435.2017
Published: 10 February 2017
The authors here report a 54-year-old (gravida 0, para 0), who claimed to have had her menarche at age 13 and menopause at 52 years. Two months prior to presentation, the subject first noticed a hard but elastic fist-sized mass in the left inguinal region that gradually grew, causing pressure-related pain. Although the external genitalia appeared female, the vagina was short and blind-ending, and no uterus or ovaries were identified on transvaginal ultrasound. Chromosome banding results (G-band method) showed 46XY. Laparoscopy revealed no traces of a vestigial uterus or ovaries; thus, based on the appearance of the external genitalia, a diagnosis of testicular feminization syndrome was made. Pathological testing of the palpable mass led to a diagnosis of seminoma with Leydig cell hyperplasia. Thus, in this case, the development of a seminoma in an undescended testis led to the detection of testicular feminization syndrome.
Testicular feminization syndrome