腹腔鏡下性腺摘出術を施行した性分化疾患の3例

抄録

  Disorders of sex development (DSD) are defined as congenital conditions in which development of chromosomal, gonadal, or anatomic sex is atypical. In some cases of DSD, especially 46,XY DSD and Turner syndrome (+Y), early bilateral gonadectomy is recommended; this recommendation is based upon the high incidence of gonadal tumors in affected individuals. Because these cases are frequently found in younger women, laparoscopic surgery is an excellent choice for minimally invasive treatment. We performed a prophylactic laparoscopic gonadectomy on three patients at the appropriate time after carefully determining the correct diagnosis.