Laparoscopic bilateral gonadectomy in a case of turner syndrome with 45XO/46XY genotype

Nitin H. Shah; Riddhi J. Shah; Swapnali Kshirsagar

doi:10.18203/2320-1770.ijrcog20180940

Authors

Nitin H. Shah Department of Obstetrics and Gynecology, Vardann Multispeciality Hospital, Mumbai, Maharashtra, India
Riddhi J. Shah Department of Obstetrics and Gynecology, Vardann Multispeciality Hospital, Mumbai, Maharashtra, India
Swapnali Kshirsagar Department of Obstetrics and Gynecology, Vardann Multispeciality Hospital, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20180940

Keywords:

Gonadoblastoma, Turner, Y chromosome

Abstract

Turner syndrome is one of the common chromosomal aberrations which manifests in a female as multiple phenotypic disorders usually presenting as a case of primary amenorrhea. Many of these patients display mosaicism on karyotyping and a presence of Y chromosomal material indicates high risk of gonadoblastoma and gonadectomy is indicated which is best achieved by laparoscopy. This is a case of 21-year-old female phenotype referred as a case of primary amenorrhea diagnosed as Turner syndrome with 46XY mosaicism. Laparoscopic bilateral salpingoophorectomy was done. In patients of primary amenorrhea karyotyping should be evaluated and if Y chromosome detected these patients should be subjected to gonadectomy after proper risk counselling about malignancy.

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