46， XX例性发育性卵睾丸障碍的诊断与手术决策

IF 1.6 4区医学 Q2 SURGERY Frontiers in Surgery Pub Date : 2024-12-11 eCollection Date: 2024-01-01 DOI:10.3389/fsurg.2024.1502340

Hanxing Zhao, Zhixing Chen, Baoyun Wang, Zhenyu Zhang, Zhengyong Li

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引用次数: 0

摘要

背景：卵睾丸性发育障碍是一种罕见的性发育障碍，在个体中表现为卵睾丸。由于该病罕见，临床表现多样，缺乏对术后结果的循证医学研究，准确诊断和手术方法的选择仍然处于冲突状态。病例介绍：我们报告一例46，XX的性发育卵睾丸障碍病例，19岁，Prader期男性化，行女性化生殖器成形术。我们的手术策略优先考虑患者的泌尿生殖功能的恢复和美容重建取得了满意的效果。我们将治疗的成功归功于系统的诊断过程和个体化的手术计划。结论：本文旨在为性发育卵睾丸障碍提供一种评估方案，提高其诊断率，并为外科治疗提供一些新的思路。

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Diagnosis and surgical decision-making of a 46, XX ovotesticular disorders of sex development patient: a case report.

Background: Ovotesticular disorder of sex development is a rare form of disorder of sex development that manifests as ovotestis in individuals. The precise diagnosis and the choice of surgical procedures are still in conflict condition due to the rarity of the disease, diverse clinical presentations, and the lack of evidence-based medical studies on postoperative outcomes.

Case presentation: We present a 46, XX ovotesticular disorder of sex development case, aged 19, with Prader stage IV virilization who underwent feminizing genitoplasty surgery. Our surgical strategy prioritized the patient's genitourinary function restoration and cosmetic reconstruction achieved satisfactory results. We attribute the success of the treatment to the systematic diagnostic process and individualized surgical planning.

Conclusion: The purpose of this article is to provide an evaluation protocol for the ovotesticular disorder of sex development, improving the diagnostic rate and providing some fresh ideas for surgical management.

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来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.