Testis & epididymis


True hermaphroditism

Topic Completed: 1 September 2012

Minor changes: 9 September 2020

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PubMed Search: True hermaphroditism [title]

Turki Al-Hussain, M.D.
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Cite this page: Al-Hussain T. True hermaphroditism. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/testistruehermaph.html. Accessed November 27th, 2021.
Definition / general
  • Unequivocal ovarian and testicular tissue in same patient, occuring as either bilateral or unilateral ovatestes or as a testis opposite an ovary, regardless of karyotype
  • Ovary is usually normal; testis usually lacks spermatogonia
  • No streak gonads present; usually no associated gonadoblastomas
  • Usually no other developmental malformations and patients may have normal sexual and reproductive functions
  • After assign gender, remove inappropriate gonad and biopsy remaining tissue
Microscopic (histologic) description
  • Ovarian compartment has numerous primordial follicles with primary oocytes and a few primary or antral follicles (Mod Pathol 2002;15:1013)
Differential diagnosis
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