46,XY Pure Gonadal Dysgenesis

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This review of two 46,XY pure gonadal dysgenesis cases found bilateral gonadoblastomas with dysgerminomas in one patient and endometriosis on the mesosalpinx in the other.

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This case report reviews two patients diagnosed with 46,XY pure gonadal dysgenesis, also known as Swyer syndrome. The first patient underwent laparotomy for gonadal extirpation, which revealed the presence of bilateral gonadoblastomas and dysgerminomas. The second case is notable for the discovery of endometriosis on the mesosalpinx, a finding that had not been previously described in association with this specific form of gonadal dysgenesis. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

A review of 2 cases of 46,XY pure gonadal dysgenesis (Swyer's syndrome) is presented. In one, bilateral gonadoblastomas with dysgerminomas were found at the time of laparotomy for gonadal extirpation. The second case was of interest because of endometriosis on the mesosalpinx, an entity heretofore undescribed in pure gonadal dysgenesis.
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Article: PDF Only 46,XY Pure Gonadal Dysgenesis Report of 2 Unusual Cases - DAVID W. DOTY - JACK S. GRUBER - GORDON C. WOLF - ROBERT C. WINSLOW Obstetrics & Gynecology 55(3):p 61S-65S, March 1980. A review of 2 cases of 46,XY pure gonadal dysgenesis (Swyer's syndrome) is presented. In one, bilateral gonadoblastomas with dysgerminomas were found at the time of laparotomy for gonadal extirpation. The second case was of interest because of endometriosis on the mesosalpinx, an entity heretofore undescribed in pure gonadal dysgenesis. Copyright © 1980 The American College of Obstetricians and Gynecologists

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Condition tags

endometriosis

MeSH descriptors

Dysgerminoma Endometriosis Gonadal Dysgenesis Gonadal Dysgenesis, 46,XY Adolescent Broad Ligament Broad Ligament Dysgerminoma Dysgerminoma Endometriosis Endometriosis Female Gonadal Dysgenesis Gonadal Dysgenesis, 46,XY Gonadal Dysgenesis, 46,XY Humans Male Phenotype Testis Testis

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Cited by (23)

Source provenance

europepmc
last seen: 2026-10-07T06:10:45.703000+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:10:10.897782+00:00
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