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患者18岁,藏族,社会性别为男性。因“发育迟缓17年,双侧乳房发育2年”就诊,查体:身高159cm,体质量44.6kg,智力发育正常,无喉结、胡须,无阴毛腋毛,双侧乳房对称长大,可扪及硬币大小乳核,有触痛无溢液,外生殖器幼稚,阴茎短小,阴囊无色素沉着,无尿道下裂,左侧睾丸花生米大小,5年前行右侧睾丸切除术。激素检查:促黄体生成素61.58mIU/ml,促卵泡激素59.42IU/L,垂体催乳素34.79ng/ml,皮质醇22.87μg/dl。磁共振
Patient 18 years old, Tibetan, gender male. Because of “17 years of developmental delay, bilateral breast development 2 years ” treatment, examination: height 159cm, body mass 44.6kg, normal mental development, no throat, beard, no pubic hair armpits, bilateral breast symmetrical growth, Palpable coin size milk nucleus, tenderness without discharge, external genital naive, short penis, scrotum no pigmentation, no hypospadias, left testicular peanut size, 5 years ago, the right orchiectomy. Hormone test: luteinizing hormone 61.58mIU / ml, follicle stimulating hormone 59.42IU / L, pituitary prolactin 34.79ng / ml, cortisol 22.87μg / dl. Magnetic resonance