XY Gonadal Dysgenesis in a Phenotypic Female Identified by Direct-to-Consumer Genetic Testing

Autor: Lesley Breech, Kimberly Kennedy, Jodie Johnson, Katherine Abell, Ahlee Kim, Jerzy Stanek, Michelle M. Ernst, Meilan M. Rutter, Stephanie Cizek, Robert J. Hopkin, Andrew C. Strine
Rok vydání: 2020
Předmět:
Zdroj: Pediatrics
ISSN: 1098-4275
Popis: We report a 16-year-old phenotypic female with 46,XY complete gonadal dysgenesis and metastatic dysgerminoma, unexpectedly discovered through direct-to-consumer (DTC) commercial genetic testing. This case underscores the importance of timely interdisciplinary care, including psychosocial intervention and consideration of gonadectomy, to optimize outcomes for individuals with differences of sex development. Her unique presentation highlights the implications of DTC genetic testing in a new diagnostic era, and informs general pediatricians, as well as specialists of non-genetic services, about the value, capabilities and limitations of DTC testing.
Databáze: OpenAIRE