A case of bilateral gonadoblastoma in a phenotypic female with 45,X/46,XY gonadal dysgenesis is presented. Hormonal investigations revealed that serum testosterone, estradiol and beta-human chorionic gonadotropin decreased following excision of the tumors, but follicle-stimulating hormone and luteinizing homrone levels increased further. Immunohistochemical staining for testosterone and estradiol was positive in both Leydig and lutein-like cells in the tumor. It is suggested that gonadoblastoma is capable of producing testosterone and estradiol, and Leydig or lutein-like cells may be the actual source of these steroid hormones.

译文

一例表型女性双侧性腺母细胞瘤,45,X/46,XY性腺发育不全。激素研究表明,肿瘤切除后血清睾丸激素,雌二醇和 β-人绒毛膜促性腺激素降低,但促卵泡激素和黄体生成素水平进一步升高。在肿瘤的Leydig和叶黄素样细胞中,睾丸激素和雌二醇的免疫组织化学染色均为阳性。建议性腺母细胞瘤能够产生睾丸激素和雌二醇,而Leydig或叶黄素样细胞可能是这些类固醇激素的实际来源。

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