Journal of Andrology
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Published-Ahead-of-Print August 15, 2007, DOI:10.2164/jandrol.107.003053

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A unique association of clinical "Persistent Mullerian Duct Syndrome" and syringoid carcinoma of the perineal-scrotal skin: a consequence of urological surgery?

Umberto Goglia , Carlo Toncini , Massimo Giusti , Christian Gastaldi , Carlo Ambruosi , Simona Sola , Jean-Luis Ravetti , Giorgio Carmignani , Francesco Minuto , and Diego Ferone *

* To whom correspondence should be addressed. E-mail: ferone{at}unige.it.

Persistent Mullerian Duct Syndrome (PMDS) is a rare form of male pseudohermaphroditism occurring in 46 XY males, and is caused by a defect in either the gene for the Mullerian inhibiting substance (MIS) or its type 2 receptor. Patients with this syndrome present retained Mullerian ducts and unilateral or bilateral undescended testes, and may also display crossed testicular ectopia caused by herniated uterine structures (MacLaughlin et al, 2004; Belville et al, 2004). Sexual ambiguity, PMDS particularly, is also present in other species, such as mixbred dogs and goats (Josso et al, 2005; Kuiper et al, 2004; Meyers-Wallen et al,1993). In this paper we report the history of a 46-years-old man with a scrotal mass, diagnosed as syringoid eccrine carcinoma, presenting a PMDS, incidentally showed by MRI performed for pre-surgery stadiation of the scrotal tumor. To our knowledge this is the first case of an exceptional association between an unusual form of male pseudohermaphroditism and a rare cutaneous tumor in an unusual site, probably due to a previous reconstructive surgery for hypospadia.



Key words: Intersex • Surgery • Anti-Mullerian Hormone • Persistent Müllerian Duct Syndrome • eccrine carcinoma • male pseudohermaphroditism







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