title: Bilateral gonadal cysts and late diagnosis of androgen insensitivity syndrome treated by laparoscopic gonadectomy.
abstract: Background. Complete androgen insensitivity syndrome is a rare syndrome in which the uterus is absent and testes rather than ovaries are present. Patients usually visit a gynecologist due to primary amenorrhea. Case. A forty-eight-year-old woman with lower abdominal pain and anamnesis of uterus agenesis was operated on due to bilateral cystic masses. A 5 × 3 × 1.2 cm left adnexal cyst revealed the presence of a serous cyst with a hypoplastic ductus deferens. A smaller cyst of the right adnexa revealed immature testis tissue with Leydig-cell hyperplasia. After karyotype and hormonal examinations, laparoscopic gonadectomy was performed. Conclusion. Attention should be paid in all cyst-removing operations in cases of uterus agenesis, due to the high incidence of malignancy. Not of less importance is the issue of informing the patient in the most appropriate way.
authors.affiliation: Department of Obstetrics and Gynecology, Klinikum Chemnitz gGmbH, Flemmingstraße 4, 09116 Chemnitz, Germany.
authors.forename: D
authors.initials: D
authors.lastname: Tourlakis
authors.forename: J
authors.initials: J
authors.lastname: Schnabel
authors.forename: N
authors.initials: N
authors.lastname: Fersis