Chen MJ, Yang JH, Mao TL, Ho HN, Yang YS. Successful pregnancy in a gonadectomized woman with 46,XY gonadal dysgenesis and gonadoblastoma.
Fertil Steril 2005;
84:217. [PMID:
16009184 DOI:
10.1016/j.fertnstert.2004.11.087]
[Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2004] [Revised: 11/30/2004] [Accepted: 11/30/2004] [Indexed: 10/25/2022]
Abstract
OBJECTIVE
To present a case of successful pregnancy after conservative bilateral gonadectomy without adjuvant chemotherapy and radiotherapy in a 46,XY gonadal dysgenetic woman with gonadoblastoma and malignant germ cell tumor.
DESIGN
Case report.
SETTING
Infertility center in university hospital.
PATIENT(S)
An 18-year-old female with 46,XY karyotype underwent bilateral gonadectomy, and the pathology revealed gonadoblastoma with malignant mixed germ cell tumor.
INTERVENTION(S)
Chromosomal analysis, bilateral gonadectomy, donor oocyte, and IVF program.
MAIN OUTCOME MEASURE(S)
Tumor markers and pregnancy result.
RESULT(S)
The patient was free from tumor recurrence after 13 years' follow-up. A successful twin pregnancy was achieved after oocyte donation and IVF.
CONCLUSION(S)
Gonadectomy without adjuvant therapies could be done in 46,XY gonadal dysgenetic women with gonadoblastoma in view of preservation of future fertility.
Collapse