Intersexuality Associated with Malignant Intra-Abdominal Teratoma of the Seminoma Type

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Abstract
A case of hermaphroditism in a girl aged 14 is reported. A 5 cm. long penis-like structure with a normal appearing glans penis and prepuce was present. A normal-sized vagina, a rudimentary uterus, normal tubes with a right and left sided testis and a right-sided ovary were present. The testis on the right side was a highly malignant teratoma of the seminoma type. The left testis was hypoplastic and contained an epidermoid cyst. The body build was of masculine type as was the voice and hair distribution. Her inclinations and habits were feminine. Gonadotrophic hormone assay before and after operation reveal a significant difference in that preoperatively the amt. corresponded to that found in the urine of castrate and menopausal women, whereas 6 mos. post-operatively the amt. was normal for a 14-yr. old girl. At the present time (February, 1942) she is doing well in school, engages in the usual activities with other girls, goes swimming without embarrassment, does sewing, uses lip rouge and nail polish. She considers herself a normal girl.

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