True hermaphroditism with sex cord tumor with annular tubules (SCTAT): a rare case report and review of the literature

BMC Womens Health. 2022 Dec 27;22(1):551. doi: 10.1186/s12905-022-02137-7.

Abstract

Background: True hermaphroditism is a rare condition. It is defined as the presence of both testicular and ovarian tissues in the same individual. Sex cord tumour with annular tubules (SCTAT) is a rare stromal tumour of the sex cord that occurs mostly in the ovaries.

Case presentation: A 16-year-old girl presented to the gynaecology department with primary amenorrhea. Gynaecological examination revealed an enlarged clitoris that looked like a small penis. The chromosome karyotype was chimaera. The postoperative pathology confirmed true hermaphroditism with SCTAT. The patient underwent hormonal replacement after an operation and had no evidence of recurrence for 6 months.

Conclusion: Cases of true hermaphroditism with SCTAT are extremely rare conditions. Surgery and hormonal replacement are important for improving the prognosis of such patients.

Keywords: Hormonal replacement; Sex cord tumour with annular tubules; Surgery; True hermaphroditism.

Publication types

  • Review
  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Female
  • Humans
  • Male
  • Ovarian Neoplasms* / complications
  • Ovarian Neoplasms* / diagnosis
  • Ovarian Neoplasms* / surgery
  • Ovotesticular Disorders of Sex Development* / complications
  • Ovotesticular Disorders of Sex Development* / diagnosis
  • Ovotesticular Disorders of Sex Development* / surgery
  • Prognosis
  • Sex Cord-Gonadal Stromal Tumors* / complications
  • Sex Cord-Gonadal Stromal Tumors* / diagnosis
  • Sex Cord-Gonadal Stromal Tumors* / surgery