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The use of MRI in the pre-surgical evaluation of patients with androgen insensitivity syndrome.

AbstractBACKGROUND:
Patients diagnosed with androgen insensitivity syndrome (AIS) need bilateral gonadectomy (orchiectomy) for malignancy risk reduction. Imaging of the gonads (testicles) prior to surgery is recommended. Ultrasonography has typically been used. However, magnetic resonance imaging (MRI) provides better localization of the gonads and pre-surgical planning.
CASES:
In this case series, we describe how MRI was utilized in planning surgical gonadectomy in 3 patients with complete AIS and to review the literature regarding MRI and AIS.
SUMMARY AND CONCLUSIONS:
MRI prior to surgery was helpful in localizing and planning for removal of the gonads while preventing injury to other structures. Surgical specialists with experience with inguinal dissection were appropriately consulted when an inguinal dissection was likely to be needed to complete the gonadectomy.
AuthorsSana Khan, Lisa Mannel, Christian L Koopman, Rao Chimpiri, Karl R Hansen, LaTasha B Craig
JournalJournal of pediatric and adolescent gynecology (J Pediatr Adolesc Gynecol) Vol. 27 Issue 1 Pg. e17-20 (Feb 2014) ISSN: 1873-4332 [Electronic] United States
PMID24001432 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright © 2014 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
Topics
  • Adolescent
  • Androgen-Insensitivity Syndrome (surgery)
  • Epididymis (surgery)
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Orchiectomy
  • Preoperative Care
  • Young Adult

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