An unusual association of hypospadias with partial deletion of chromosome 1q

作者:Paliwal Preeti; Sharma Arundhati*; Sahoo Jayaprakash; Ammini Ariachery Chinamma
来源:Fertility and Sterility, 2010, 93(7).
DOI:10.1016/j.fertnstert.2009.12.003

摘要

Objective: To report an unusual finding of chromosome 1q deletion in a man with failed multiple hypospadias repair.
Design: Case report and discussion.
Setting: An academic tertiary care hospital.
Patient(s): A 32-year-old man with failed multiple hypospadias repair.
Intervention(s): Clinical, hormonal, cytogenetic evaluation, fluorescent in situ hybridization (FISH), and ultrasonography.
Main Outcome Measure(s): Serum gonadotropin and testosterone levels, and karyotype showing structural abnormality of long arm of chromosome 1.
Result(s): Ultrasonography showed the absence of the left testis and a hypoechoic right testis. Serum luteinizing hormone and follicular stimulating hormone levels were raised, but testosterone and prolactin levels were within the normal range for adult men. Karyotype analysis revealed an interstitial deletion of the long arm of chromosome 1, which was confirmed by FISH.
Conclusion(s): Chromosome 1 may harbor a critical domain that is essential for male fertility. (Fertil Steril (R) 2010; 93: 2413. e11-e13.

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