Virchows Archiv A

, Volume 389, Issue 1, pp 103–117 | Cite as

XY (H-Y+) gonadal dysgenesis

Morphological examination of 4 cases by light and electron microscopy
  • Heinz Pickartz
  • Lothar Moltz
  • Eberhard Altenähr
Original Articles


The gonads of 4 phenotypically female individuals with XY chromosomal constitution and signs of virilisation were examined by light microscopy. Electron microscopic examination was also performed in two cases. Serological analysis of H-Y antigen titer yielded positive results. The matrix of the gonads is shown to be ovarian stroma, in which tubular and follicular structures are embedded. The epithelia of the follicles resemble granulosa cells of the ovary, the tubular epithelia are resemble Sertoli cells. Tubules and follicles both show extensive regressive changes. A varying number of Leyding cells/stroma lutein cells were found in each gonad. The different degree of development of testicular and ovarian structures in the dysgenetic gonads might be explained by a defect of the gonadal specific receptor for the H-Y antigen, this defect varying in time of occurrence, duration and severity.

Key words

Gonadal dysgenesis H-Y antigen Ultrastructure 


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Copyright information

© Springer-Verlag 1980

Authors and Affiliations

  • Heinz Pickartz
    • 1
  • Lothar Moltz
    • 2
  • Eberhard Altenähr
    • 1
  1. 1.Klinikum Steglitz der FU BerlinInstitut für PathologieBerlin 45
  2. 2.Klinik für Gynäkologie und Geburtshilfe, Klinikum SteglitzFreie Universität BerlinDeutschland

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