Testis and epididymis
Intersex syndromes
True hermaphroditism

Author: Turki Al-Hussain, M.D. (see Authors page)

Revised: 5 April 2017, last major update September 2012

Copyright: (c) 2002-2017, PathologyOutlines.com, Inc.

PubMed Search: True hermaphroditism [title]

Cite this page: True hermaphroditism. PathologyOutlines.com website. http://pathologyoutlines.com/topic/testistruehermaph.html. Accessed August 24th, 2017.
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
Treatment
  • 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)
Microscopic (histologic) images

Images hosted on other servers:

Three ovarian follicles

Hyperchromatic sertoli cells

Ovarian follicles

Ovotestis

Differential diagnosis