A rare case of complete androgen insensitivity syndrome (cais) with serous cystadenoma
- VernacularTitle:Моррисын хамшинж буюу андрогенд бүрэн мэдрэг бус хамшинж, дайврын цистаденома хавсарсан ховор тохиолдол
- Author:
Amarzaya L
1
;
Kherlen O
1
;
Khadbaatar R
1
;
Khulan Ch
1
;
Lkhagva-Ochir M
1
Author Information
1. Unimed International Hospital, IVF center
- Publication Type:Case Reports
- Keywords:
Testicular Feminization, Chromosomal disorders, gonad, testosterone
- From:
Mongolian Journal of Health Sciences
2025;87(3):40-42
- CountryMongolia
- Language:Mongolian
-
Abstract:
Complete androgen insensitivity syndrome (CAIS), also known as Morris
syndrome, is a rare X-linked recessive disorder characterized by a
46XY karyotype and a female external phenotype. We present the case
of a 32-year-old patient who presented to Unimed International Hospital
in 2024 with primary amenorrhea, infertility, and chronic pelvic pain.
Clinical examination, imaging, and laboratory investigations led to the
diagnosis of CAIS. Laparoscopic surgery was performed to remove bilateral
gonadal structures and a cystic mass on the left side. Histopathological
analysis revealed testicular tissue and a serous cystadenoma
originating from the left mesonephric remnant. Following gonadectomy,
hormone replacement therapy was initiated, resulting in stabilization of
hormone levels. This rare case highlights the possibility of mesonephric
remnant-derived cystadenoma in CAIS and underscores the diagnostic
value of cytogenetic and histological evaluations, especially in distinguishing
between ovarian and testicular tissue when imaging findings
are inconclusive.
- Full text:202505232201080111040-43.pdf
