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46例男性性腺发育不良患者的临床表现和染色体分析

Clinical Manifestations and Chromosomal Analysis of 46 Cases With Male Gonadal Dysgenesis

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【作者】 周宏远丘建春李世绩高秀坤王洪涛王有麒田兆雄

【Author】 Zhou Hongyuan, Qiu jianchun, Li shiji, Gao Xiukun, Wang Hongtao Institute of Cancer Research Wang Youqi, Tian zhaoxiong Department of Genitourinary Surgery of West China University of medical Sciences

【机构】 华西医科大学肿瘤研究所华西医科大学肿瘤研究所华西医科大学附一院泌尿外科

【摘要】 本文报道46例男性性腺发育不良患者的临床表现及染色体分析。结果发现23例(50%)患者染色体核型为47,XXY。的典型克氏综合征;23例患者染色体核型为46,XY.。比较分析了两者某些临床表现的差异及与男性乳腺癌发生的关系。

【Abstract】 The clinical manifestations ane chromosomal ana ysis by GTG, CBG banding techniques were investigated in 46 male patients with gonodal dysgenesis. It was found that in 23 cases the karyotype was shown to be 47, XXY, (50.0%), and another 23 cases to be 46, XY.In those patients with 47, XXY. (Kline-felter Syndrome)the clinical manifestations were as follows 6 cases had mental dysfunction, 8 Cases with nomal penis, and 1 case with undescended testicle; whereas, in patients with 46, XY. there were 1 case with normal penis, 3 caees with undescended testicle,and without a case of mental dysfunction. The differences of certain clinical manifestations of the two types of male gonodal dysgenesis were studied, and the possible development of carcinoma of male breast in relation to the male gonodal dyegenesis was also discussed.

【关键词】 male gonadal dysgenesisKaryotypeCarcinoma
【Key words】 male gonadal dysgenesisKaryotypeCarcinoma
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