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孪生姊妹共同发生假两性畸形者罕见,我院最近收治2例,报道如下: 例1 社会性别女,22岁。因阴蒂肥大如阴茎,于1989年12月28日入院。患者出生后一直以女性抚养,4～5岁时发现阴蒂呈进行性增大,如同小阴茎,未予特别注意。至10岁时,曾求治于当地医院,但未获诊断及治疗。至今,一直未来月经,但有求偶欲望。体检:发音低沉,略见喉结,无胡须:胸部平坦,双乳形态如男性;四肢肌肉较发达,肩宽大于臀宽,手掌较为宽大。双侧腹股沟区及外阴部均未扪及肿块;阴毛呈男性样分布,大阴唇发育正常,小阴唇下三分之一未见明显发育;阴蒂粗大如小阴茎,直径约1.2cm,长约4cm,头端如龟头状;尿道口位于阴蒂根部,距阴道口约2mm;阴道口较为紧缩,能容一食指通过,但其内之宽度尚可,深度约8cm,子宫存在。染色体核型为46XX,X染色质阳性。B超检查:子宫体3×2cm,左侧卵巢
Twins and sisters common occurrence of bisexual deformity are rare, our hospital recently admitted in 2 cases, reported as follows: Example 1 Gender Female, 22 years old. Due to enlargement of the clitoris, such as the penis, was admitted on December 28, 1989. Patients have been raised to women after birth, 4 to 5 years of age found clitoral progressively increased, as small penis, no special attention. At the age of 10, he sought treatment at a local hospital but was not diagnosed and treated. So far, menstruation has been the future, but courtship desire. Physical examination: low voice, slightly see the Adam’s apple, no beard: flat chest, breast shape such as men; more developed limb muscles, shoulder width greater than the buttocks, the palm is more generous. Bilateral inguinal area and vulva are not palpable mass; pubic hair were male-like distribution, labia majora normal development, one third of the labia minora had no significant development; clitoris as large as the small penis, diameter of about 1.2cm, about 4cm long , Head like a tortoise-shaped; urethra at the root of the clitoris, vaginal mouth from about 2mm; vaginal opening more tight, able to allow a forefinger through, but its width is acceptable, the depth of about 8cm, the uterus exists. Chromosome karyotype 46XX, X Chromatin positive. B-ultrasound: uterine body 3 × 2cm, left ovary