發生於45,X/46,XY鑲嵌型透納氏症的性腺母細胞瘤及惡性胚胎瘤：一病例報告

Gonadoblastoma and Dysgerminoma in a Case of Turner Syndrome with 45,X/46,XY Mosaicism

10.6440/TZUCMJ.199206.0115

林美慧(Mei-Hwey Lin)

透納氏症 ； 性腺母細胞瘤 ； 惡性胚胎瘤 ； Turner syndrome ； gonadoblastoma ； dysgerminoma

慈濟醫學雜誌

4卷2期（1992 / 06 / 01）

115 - 118

繁體中文

透納氏症患者中約有百分之二十為鑲嵌型染色體異常，其中少部份帶有Y染色體。這類患者發生性腺惡性瘤的機會頗大，因此須將發育不良的性腺切除以絕後患。本文報告一位45,X/46,XY鑲嵌型透納氏症女孩，於十九歲時被發現為此症，且已合併性腺母細胞瘤及惡性胚胎瘤，後經手術切除兩邊性腺的病例。

A 19-year-old girl of 45,X/46,XY mosaic Turner syndrome, presenting with short stature, sexture, sexual infantilism and abnormal physical stigmata was found to have a left adnexa mass at diagnosis. The mass was proved to be gonadoblastoma and dysgerminoma after surgical intervention. The risk of developing gonadal tumor from the streak gonad in patients of Turner syndrome with Y chromosome mosaicism should be emphasized.