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A simplified surgical approach to the intersex child with the incomplete form of testicular feminization is presented. The procedure is particularly useful in patients where the gonadal tissue is located in the scrotolabial folds and eliminates the necessity for exploratory laparotomy. Representative drawings of the procedure are shown.
An extremely large Sertoli cell adenoma discovered incidentally in an elderly phenotypically femal patient with testicular feminization syndrome is reported. The patient is alive 3 years following removal of the tumor.
The syndrome of testicular feminization is characterized by female phenotype in the presence of male gonads and has a population frequency of 1:20,000 to 1:60,000. The authors report of 2 cases with this syndrome. Its rarity, diagnostic evaluation and follow-up by the gynecologist are of interest.
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A 37-year-old male with adrenocortical tumor presenting marked gynecomastia and impotence as initial symptoms was experienced. Abnormal elevations in urinary 17-KS, 17-OHCS and blood estrogen levels were noted. Total surgical removal of the tumor weighing 800g was performed. Postoperatively the gynecomastia disappeared and he regained libido with no signs of recurrence one year later.
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