Table 2.

Histological Findings in Samples From 61 Gonads Grouped According to Reason for Diagnosis and Including Ages at the Time of Biopsy/Gonadectomy and EMS Scores

IDBiopsy or Gonadectomy: Age in Years (L/R)Overall MorphologyMale CharacteristicsFemale CharacteristicsGerm CellsSpermatogenesis/FolliclesInternal GenitaliaEMSGroup (N/NG)
Testicular TubulesLeydig CellsSCO, Y/N
FemaleMale
1G: 15 (l)Dysgenetic testisPresent, thick basal membrane, fibrosis; branched tubules, calcification.HyperplasiaYAbsentUT; FTEP4G
G: 15 (r)Müllerian derivatives
2G: 0.3 (l)Dysgenetic testisPrepubertal patternAbsentYAbsentNA due to ageUTEP4G
G: 0.3 (r)Dysgenetic testisPrepubertal patternAbsentYAbsentNA due to age
3G: 4 (l)TestisPrepubertal patternNANA due to ageUT; FT ULEP; VD UL1G
G: 4 (r)Streak gonadNANANAOvarian-like tissueAbsentNA due to age
4G: 2 (l)Wolffian and Müllerian derivativesNA due to ageFTEP9.5G
5B: 5 (l)Dysgenetic testisPrepubertal testisAbsentNPresentNA due to ageUT; FT BLEP BL8G
G: 5 (r)Streak gonadNANANAOvarian-like tissue with primitive sex cord structuresNA due to age
6B: 4.8 (l)Dysgenetic testisNormalPresentYAbsentNA due to ageFT ULVD, EP UL5.5G
G: 4.8 (r)Ovarian-like tissueNANANAOvarian-like tissueAbsentNA due to age
7B: 0.1 (l)Dysgenetic testisIrregular, abnormalNRare absentNA due to age, absentUT ULVD, EP UL5.5G
B: 15 (l)Dysgenetic testisIrregular, abnormalY
G: 1.0 (r)Ovarian-like tissueNANANAOvarian-like tissue with germ cells presentPresent, gonadoblastoma in situNA due to ageFT UL
8B: 1 (r)Prepubertal testis; abnormal area with peripheral microlithiasisNormalNormalNNA due to ageNormalG
9G: childhood (l)Prepubertal testisNA due to ageAgenesis of SVG
G: childhood (r)Streak gonadNANANAStreak gonadAbsentNA due to age
10B: 13.2 (l)Fibrous tissue without testicular morphologyAbsentAbsentAbsentAbsentFT, UT ULVD, EP UL3G
B: 13.2 (r)Testis without spermatogenesisNormalRareYFibrous ovarian-like tissueAbsentAbsent
G: 13.9 (r)
11B: 0.75 (l)Prepubertal testisNormalAbsentNNoneNormalNA due to ageUT, FT ULWR UL5.5G
B: 16Testis with partial atrophy and SCO; other parts with incomplete spermatogenesisMixed abnormal and normalNormalY/NNoneStrongly reduced number, no malignancyIncomplete spermatogenesis, round elongated spermatids, no mature sperm (sperm present in semen sample)
G: 0.75 (r)No gonadal tissueNANANANANANAUT, FT ULWR
12B: 3 (l)Dysgenetic testisDichotomized seminiferous tubules predominantly with Sertoli cellsNFew spermatogoniaNA due to ageUT-like structureWR3G
G: 6 (l)Hypoplastic TAPrepubertal seminiferous tubules invading TARareNNA due to age
Dysgenetic testis; thickened TA
B: 6 (r)Prepubertal testisNormalNormalNNA due to age
13B: 2 (l)Prepubertal testisNA due to ageUT, FTG
14B: 1.5Streak gonadNANANAOvarian-like tissueAbsentNA due to ageUT, FTG
G: 6NA due to age
15G: 1 (l)Streak gonadNANANAStreak gonadAbsentNA due to ageFT ULVD UL2.5G
G: 2 (r)Dysgenetic testisNA due to age
16B:21 (l)Hypotrophic testisHyalinizedRareNAAbsentAbsentUT, FT ULVD, EP UL2.5G
G:3 (r)Atrophic testisNA due to age
17G: 3 (l)Dysgenetic testis and ovarian tissueSeminiferous tubules without germ cellsYOvarian tissueAbsent, no malignancyNA due to age4G
B: 3 (r)Dysgenetic testisNo malignancyNA due to age
18G: 1 (l)Steak gonadNANANAStreak gonadAbsent, no malignancyNA due to age8.5G
B: 1 (r)Dysgenetic testisNo malignancyNA due to age
B: 5 (r)Dysgenetic testisNA due to age
19G: 4Dysgenetic gonadNo malignancyNA due to age5G
B: 11
20B/G: 5Fibrous tissueNo malignancyNA due to age6G
21B: 3.3 (r)Prepubertal testisPresence of germ cells uncertainNA due to ageEPG
22G: 1.9 (l)Dysgenetic gonadFew nests of sex cordsOvarian- like tissueAbsentNA due to ageFTWRG
23G: 1.5 (l)Dysgenetic gonad UGTAbnormalYOvarian-like tissue with germ cells presentPresent, presence of primordial follicles uncertainNA due to ageRudimentary UT, FTG
B: 9.5 (r)No gonadal tissueNANANANANANAFimbriae with edema
24G: 1.3 (l)Streak gonadNANANAOvarian-like tissueAbsentNA due to ageFTG
25B: 14.0 (l)No gonadal tissueNANANANANARudimentary UT, FT BLVD BL8G
B: 21.3 (l)Dysgenetic testisPresent, thick basal membrane, some hyalinizedHyperplasiaY/NAbsentPresent, no malignancySpermatocytic arrest
G: 14.0 (r)Ovotesticular remnantPresentOvotesticular remnantAbsent, no malignancyAbsent
26B: 1.9 (l)Prepubertal testisNormalPresence uncertain, fibrosisNAbsentPresent, no malignancyNA due to ageRudimentary UT, FL BLVD UL4G
G: 14.5 (l)Dysgenetic testisPresent, thick basal membraneHyperplasiaY/NAbsentPresent, GCNISOverall spermatocytic arrest, some spermatids present
G: 1.9 (r)Streak gonadNANANAOvarian-like tissueAbsent, no malignancyAbsent
27G: 2.2 (l)Fibrotic ovarian-like tissueNANANAOvarian-like tissueAbsentNAMR, rudimentary UT, FT BLVD, EP BL1G
B: 2.2 (r)Dysgenetic testisNormalPresentY/NAbsentSpermatogonia and gonocytes presentNA due to age
G: 14.2 (r)Prepubertal testisNormalPresentY/NAbsentPresent, GCNISNA due to age
28B: 43.7 (l)Dysgenetic testisPresent, some hyalinized, fibrosisHyperplasiaNAbsentAbsent, no malignancyAbsent9.5G
G: 42.8 (r)Streak gonadNANANAStreak gonadAbsent, no malignancyAbsentRudimentary UT, FT UL
29B: 16.1 (l)Dysgenetic testisPresentYAbsentAbsent, no malignancyAbsent7G
30B: 1.5 (l)Dysgenetic testisPresentUnknownYAbsentAbsent, no malignancyNA due to age4G
G: 12.0 (r)Streak gonadNANANAStreak gonadAbsent, no malignancyAbsent
31G: 22 (r)Dysgenetic testisPresent, GCNISG
32G: 0.08 (l)Streak gonadNANANAStreak gonadAbsentNA due to ageVD ULNG
B: 0.08 (r)Dysgenetic testisFew, abnormal, hyalinizedRareNAbsentNA due to age
33B: 0.42 (l)Dysgenetic testisFew, abnormal, hyalinizedRareNAbsentNA due to ageVD BL10NG
B: 0.42 (r)Dysgenetic testisFew, abnormal, hyalinizedRareNAbsentNA due to age
34B: 34.4 (l)Dysgenetic testisPresent, thick basal membranePresentYAbsentAbsent, no malignancyAbsent12NG
B: 34.4 (r)Dysgenetic testisPresent, thick basal membrane, some hyalinizedPresentY/NAbsentPresent, no malignancySpermatocytic arrest
35B: 28.2 (l)Dysgenetic testisPresent, thick basal membraneNormalYAbsentAbsent, no malignancyAbsent12NG
B: 28.2 (r)Dysgenetic testisPresent, thick basal membraneNormalYAbsentAbsent, no malignancyAbsent
36B: 30.1 (l)Dysgenetic testisPresent, thick basal membrane, some hyalinizedNormalYAbsentAbsent, no malignancyAbsent11NG
B: 30.1 (r)Dysgenetic testisPresent, thick basal membrane, some hyalinizedHyperplasiaYAbsentAbsent, no malignancyAbsent
37B: 18.77 (l)Dysgenetic testisPresent, thick basal membraneNormalNAbsentPresent, no malignancyOverall spermatocytic arrest, few spermatids present12NG
B: 18.77 (r)Dysgenetic testisPresent, thick basal membraneNormalNAbsentPresent, no malignancySpermatocytic arrest
38B: 36.3 (l)Dysgenetic testisPresent, thick basal membraneHyperplasiaY/NAbsentPresent, no malignancyOnly spermatogonia presentNG
B: 36.3 (r)Dysgenetic testisPresent, thick basal membraneHyperplasiaY/NAbsentPresent, no malignancyOnly spermatogonia present
39B: 49.4 (l)Dysgenetic testisPresent, thick basal membrane, some hyalinizedHyperplasiaY/NAbsentPresent, no malignancySpermatocytic arrest12NG
B: 49.4 (r)Dysgenetic testisPresent, thick basal membrane, some hyalinizedHyperplasiaY/NAbsentPresent, no malignancyOnly spermatogonia present
40B: 19.1 (l)Dysgenetic testisPresent, thick basal membraneHyperplasiaYAbsentAbsent, no malignancyAbsent12NG
B: 19.1 (r)Dysgenetic testisPresent, thick basal membraneHyperplasiaYAbsentAbsent, no malignancyAbsent
41B: 34.1 (l)Dysgenetic testisPresent, thick basal membrane, some hyalinizedPresent, fibrosisY/NAbsentPresent, no malignancySpermatocytic arrest11.5NG
B: 34.1 (r)Dysgenetic testisPresent, thick basal membranePresentYAbsentAbsent, no malignancyAbsent
42B: 17.1 (l)Normal testisPresent, no malignancyNormal spermatogenesis (small vol semen sample with conc of 114 mio/mL)Rudimentary UT, FT BL11.5NG
G: 15.6 (r)Streak gonadNANANAOvarian-like tissueAbsent, no malignancyAbsent
43B: 28.6 (l)Dysgenetic testisPresent, thick basal membrane, fibrosisPresentNAbsentPresent, GCNIS12NG
B: 28.6 (r)Slightly dysgenetic testisPresent, slightly thick basal membraneNormalNAbsentPresent, no malignancyPreserved spermatogenesis (semen sample with conc of 0.06 mio/mL, few progressively motile)
44B: 47.5 (l)Dysgenetic testisPresent, some atrophic and hyalinizedHyperplasiaYAbsentAbsentAbsentEP BL10.5NG
B: 47.5 (r)Dysgenetic testisPresent, some atrophic and hyalinizedHyperplasiaYAbsentAbsent, no malignancyAbsent
IDBiopsy or Gonadectomy: Age in Years (L/R)Overall MorphologyMale CharacteristicsFemale CharacteristicsGerm CellsSpermatogenesis/FolliclesInternal GenitaliaEMSGroup (N/NG)
Testicular TubulesLeydig CellsSCO, Y/N
FemaleMale
1G: 15 (l)Dysgenetic testisPresent, thick basal membrane, fibrosis; branched tubules, calcification.HyperplasiaYAbsentUT; FTEP4G
G: 15 (r)Müllerian derivatives
2G: 0.3 (l)Dysgenetic testisPrepubertal patternAbsentYAbsentNA due to ageUTEP4G
G: 0.3 (r)Dysgenetic testisPrepubertal patternAbsentYAbsentNA due to age
3G: 4 (l)TestisPrepubertal patternNANA due to ageUT; FT ULEP; VD UL1G
G: 4 (r)Streak gonadNANANAOvarian-like tissueAbsentNA due to age
4G: 2 (l)Wolffian and Müllerian derivativesNA due to ageFTEP9.5G
5B: 5 (l)Dysgenetic testisPrepubertal testisAbsentNPresentNA due to ageUT; FT BLEP BL8G
G: 5 (r)Streak gonadNANANAOvarian-like tissue with primitive sex cord structuresNA due to age
6B: 4.8 (l)Dysgenetic testisNormalPresentYAbsentNA due to ageFT ULVD, EP UL5.5G
G: 4.8 (r)Ovarian-like tissueNANANAOvarian-like tissueAbsentNA due to age
7B: 0.1 (l)Dysgenetic testisIrregular, abnormalNRare absentNA due to age, absentUT ULVD, EP UL5.5G
B: 15 (l)Dysgenetic testisIrregular, abnormalY
G: 1.0 (r)Ovarian-like tissueNANANAOvarian-like tissue with germ cells presentPresent, gonadoblastoma in situNA due to ageFT UL
8B: 1 (r)Prepubertal testis; abnormal area with peripheral microlithiasisNormalNormalNNA due to ageNormalG
9G: childhood (l)Prepubertal testisNA due to ageAgenesis of SVG
G: childhood (r)Streak gonadNANANAStreak gonadAbsentNA due to age
10B: 13.2 (l)Fibrous tissue without testicular morphologyAbsentAbsentAbsentAbsentFT, UT ULVD, EP UL3G
B: 13.2 (r)Testis without spermatogenesisNormalRareYFibrous ovarian-like tissueAbsentAbsent
G: 13.9 (r)
11B: 0.75 (l)Prepubertal testisNormalAbsentNNoneNormalNA due to ageUT, FT ULWR UL5.5G
B: 16Testis with partial atrophy and SCO; other parts with incomplete spermatogenesisMixed abnormal and normalNormalY/NNoneStrongly reduced number, no malignancyIncomplete spermatogenesis, round elongated spermatids, no mature sperm (sperm present in semen sample)
G: 0.75 (r)No gonadal tissueNANANANANANAUT, FT ULWR
12B: 3 (l)Dysgenetic testisDichotomized seminiferous tubules predominantly with Sertoli cellsNFew spermatogoniaNA due to ageUT-like structureWR3G
G: 6 (l)Hypoplastic TAPrepubertal seminiferous tubules invading TARareNNA due to age
Dysgenetic testis; thickened TA
B: 6 (r)Prepubertal testisNormalNormalNNA due to age
13B: 2 (l)Prepubertal testisNA due to ageUT, FTG
14B: 1.5Streak gonadNANANAOvarian-like tissueAbsentNA due to ageUT, FTG
G: 6NA due to age
15G: 1 (l)Streak gonadNANANAStreak gonadAbsentNA due to ageFT ULVD UL2.5G
G: 2 (r)Dysgenetic testisNA due to age
16B:21 (l)Hypotrophic testisHyalinizedRareNAAbsentAbsentUT, FT ULVD, EP UL2.5G
G:3 (r)Atrophic testisNA due to age
17G: 3 (l)Dysgenetic testis and ovarian tissueSeminiferous tubules without germ cellsYOvarian tissueAbsent, no malignancyNA due to age4G
B: 3 (r)Dysgenetic testisNo malignancyNA due to age
18G: 1 (l)Steak gonadNANANAStreak gonadAbsent, no malignancyNA due to age8.5G
B: 1 (r)Dysgenetic testisNo malignancyNA due to age
B: 5 (r)Dysgenetic testisNA due to age
19G: 4Dysgenetic gonadNo malignancyNA due to age5G
B: 11
20B/G: 5Fibrous tissueNo malignancyNA due to age6G
21B: 3.3 (r)Prepubertal testisPresence of germ cells uncertainNA due to ageEPG
22G: 1.9 (l)Dysgenetic gonadFew nests of sex cordsOvarian- like tissueAbsentNA due to ageFTWRG
23G: 1.5 (l)Dysgenetic gonad UGTAbnormalYOvarian-like tissue with germ cells presentPresent, presence of primordial follicles uncertainNA due to ageRudimentary UT, FTG
B: 9.5 (r)No gonadal tissueNANANANANANAFimbriae with edema
24G: 1.3 (l)Streak gonadNANANAOvarian-like tissueAbsentNA due to ageFTG
25B: 14.0 (l)No gonadal tissueNANANANANARudimentary UT, FT BLVD BL8G
B: 21.3 (l)Dysgenetic testisPresent, thick basal membrane, some hyalinizedHyperplasiaY/NAbsentPresent, no malignancySpermatocytic arrest
G: 14.0 (r)Ovotesticular remnantPresentOvotesticular remnantAbsent, no malignancyAbsent
26B: 1.9 (l)Prepubertal testisNormalPresence uncertain, fibrosisNAbsentPresent, no malignancyNA due to ageRudimentary UT, FL BLVD UL4G
G: 14.5 (l)Dysgenetic testisPresent, thick basal membraneHyperplasiaY/NAbsentPresent, GCNISOverall spermatocytic arrest, some spermatids present
G: 1.9 (r)Streak gonadNANANAOvarian-like tissueAbsent, no malignancyAbsent
27G: 2.2 (l)Fibrotic ovarian-like tissueNANANAOvarian-like tissueAbsentNAMR, rudimentary UT, FT BLVD, EP BL1G
B: 2.2 (r)Dysgenetic testisNormalPresentY/NAbsentSpermatogonia and gonocytes presentNA due to age
G: 14.2 (r)Prepubertal testisNormalPresentY/NAbsentPresent, GCNISNA due to age
28B: 43.7 (l)Dysgenetic testisPresent, some hyalinized, fibrosisHyperplasiaNAbsentAbsent, no malignancyAbsent9.5G
G: 42.8 (r)Streak gonadNANANAStreak gonadAbsent, no malignancyAbsentRudimentary UT, FT UL
29B: 16.1 (l)Dysgenetic testisPresentYAbsentAbsent, no malignancyAbsent7G
30B: 1.5 (l)Dysgenetic testisPresentUnknownYAbsentAbsent, no malignancyNA due to age4G
G: 12.0 (r)Streak gonadNANANAStreak gonadAbsent, no malignancyAbsent
31G: 22 (r)Dysgenetic testisPresent, GCNISG
32G: 0.08 (l)Streak gonadNANANAStreak gonadAbsentNA due to ageVD ULNG
B: 0.08 (r)Dysgenetic testisFew, abnormal, hyalinizedRareNAbsentNA due to age
33B: 0.42 (l)Dysgenetic testisFew, abnormal, hyalinizedRareNAbsentNA due to ageVD BL10NG
B: 0.42 (r)Dysgenetic testisFew, abnormal, hyalinizedRareNAbsentNA due to age
34B: 34.4 (l)Dysgenetic testisPresent, thick basal membranePresentYAbsentAbsent, no malignancyAbsent12NG
B: 34.4 (r)Dysgenetic testisPresent, thick basal membrane, some hyalinizedPresentY/NAbsentPresent, no malignancySpermatocytic arrest
35B: 28.2 (l)Dysgenetic testisPresent, thick basal membraneNormalYAbsentAbsent, no malignancyAbsent12NG
B: 28.2 (r)Dysgenetic testisPresent, thick basal membraneNormalYAbsentAbsent, no malignancyAbsent
36B: 30.1 (l)Dysgenetic testisPresent, thick basal membrane, some hyalinizedNormalYAbsentAbsent, no malignancyAbsent11NG
B: 30.1 (r)Dysgenetic testisPresent, thick basal membrane, some hyalinizedHyperplasiaYAbsentAbsent, no malignancyAbsent
37B: 18.77 (l)Dysgenetic testisPresent, thick basal membraneNormalNAbsentPresent, no malignancyOverall spermatocytic arrest, few spermatids present12NG
B: 18.77 (r)Dysgenetic testisPresent, thick basal membraneNormalNAbsentPresent, no malignancySpermatocytic arrest
38B: 36.3 (l)Dysgenetic testisPresent, thick basal membraneHyperplasiaY/NAbsentPresent, no malignancyOnly spermatogonia presentNG
B: 36.3 (r)Dysgenetic testisPresent, thick basal membraneHyperplasiaY/NAbsentPresent, no malignancyOnly spermatogonia present
39B: 49.4 (l)Dysgenetic testisPresent, thick basal membrane, some hyalinizedHyperplasiaY/NAbsentPresent, no malignancySpermatocytic arrest12NG
B: 49.4 (r)Dysgenetic testisPresent, thick basal membrane, some hyalinizedHyperplasiaY/NAbsentPresent, no malignancyOnly spermatogonia present
40B: 19.1 (l)Dysgenetic testisPresent, thick basal membraneHyperplasiaYAbsentAbsent, no malignancyAbsent12NG
B: 19.1 (r)Dysgenetic testisPresent, thick basal membraneHyperplasiaYAbsentAbsent, no malignancyAbsent
41B: 34.1 (l)Dysgenetic testisPresent, thick basal membrane, some hyalinizedPresent, fibrosisY/NAbsentPresent, no malignancySpermatocytic arrest11.5NG
B: 34.1 (r)Dysgenetic testisPresent, thick basal membranePresentYAbsentAbsent, no malignancyAbsent
42B: 17.1 (l)Normal testisPresent, no malignancyNormal spermatogenesis (small vol semen sample with conc of 114 mio/mL)Rudimentary UT, FT BL11.5NG
G: 15.6 (r)Streak gonadNANANAOvarian-like tissueAbsent, no malignancyAbsent
43B: 28.6 (l)Dysgenetic testisPresent, thick basal membrane, fibrosisPresentNAbsentPresent, GCNIS12NG
B: 28.6 (r)Slightly dysgenetic testisPresent, slightly thick basal membraneNormalNAbsentPresent, no malignancyPreserved spermatogenesis (semen sample with conc of 0.06 mio/mL, few progressively motile)
44B: 47.5 (l)Dysgenetic testisPresent, some atrophic and hyalinizedHyperplasiaYAbsentAbsentAbsentEP BL10.5NG
B: 47.5 (r)Dysgenetic testisPresent, some atrophic and hyalinizedHyperplasiaYAbsentAbsent, no malignancyAbsent

Ovarian-like tissue does not contain follicles unless specifically indicated.

Abbreviations: —, information not available; B, biopsy; BL, bilateral; EP, epididymis; FT, fallopian tubes; G, genital (last column); G, gonadectomy (column 2); ID, identification; l, left; mio/mL, million per milliliter; MR, Müllerian remnants; N, no; NA, not applicable; NG, nongenital; r, right; SCO, Sertoli cell only; SV, seminal vesicle; TA, tunica albuginea; UGT, undifferentiated; UL, unilateral; UT, uterus; VD, vas deferens; vol, volume; WR, Wolffian duct remnants; Y, yes.

Table 2.

Histological Findings in Samples From 61 Gonads Grouped According to Reason for Diagnosis and Including Ages at the Time of Biopsy/Gonadectomy and EMS Scores

IDBiopsy or Gonadectomy: Age in Years (L/R)Overall MorphologyMale CharacteristicsFemale CharacteristicsGerm CellsSpermatogenesis/FolliclesInternal GenitaliaEMSGroup (N/NG)
Testicular TubulesLeydig CellsSCO, Y/N
FemaleMale
1G: 15 (l)Dysgenetic testisPresent, thick basal membrane, fibrosis; branched tubules, calcification.HyperplasiaYAbsentUT; FTEP4G
G: 15 (r)Müllerian derivatives
2G: 0.3 (l)Dysgenetic testisPrepubertal patternAbsentYAbsentNA due to ageUTEP4G
G: 0.3 (r)Dysgenetic testisPrepubertal patternAbsentYAbsentNA due to age
3G: 4 (l)TestisPrepubertal patternNANA due to ageUT; FT ULEP; VD UL1G
G: 4 (r)Streak gonadNANANAOvarian-like tissueAbsentNA due to age
4G: 2 (l)Wolffian and Müllerian derivativesNA due to ageFTEP9.5G
5B: 5 (l)Dysgenetic testisPrepubertal testisAbsentNPresentNA due to ageUT; FT BLEP BL8G
G: 5 (r)Streak gonadNANANAOvarian-like tissue with primitive sex cord structuresNA due to age
6B: 4.8 (l)Dysgenetic testisNormalPresentYAbsentNA due to ageFT ULVD, EP UL5.5G
G: 4.8 (r)Ovarian-like tissueNANANAOvarian-like tissueAbsentNA due to age
7B: 0.1 (l)Dysgenetic testisIrregular, abnormalNRare absentNA due to age, absentUT ULVD, EP UL5.5G
B: 15 (l)Dysgenetic testisIrregular, abnormalY
G: 1.0 (r)Ovarian-like tissueNANANAOvarian-like tissue with germ cells presentPresent, gonadoblastoma in situNA due to ageFT UL
8B: 1 (r)Prepubertal testis; abnormal area with peripheral microlithiasisNormalNormalNNA due to ageNormalG
9G: childhood (l)Prepubertal testisNA due to ageAgenesis of SVG
G: childhood (r)Streak gonadNANANAStreak gonadAbsentNA due to age
10B: 13.2 (l)Fibrous tissue without testicular morphologyAbsentAbsentAbsentAbsentFT, UT ULVD, EP UL3G
B: 13.2 (r)Testis without spermatogenesisNormalRareYFibrous ovarian-like tissueAbsentAbsent
G: 13.9 (r)
11B: 0.75 (l)Prepubertal testisNormalAbsentNNoneNormalNA due to ageUT, FT ULWR UL5.5G
B: 16Testis with partial atrophy and SCO; other parts with incomplete spermatogenesisMixed abnormal and normalNormalY/NNoneStrongly reduced number, no malignancyIncomplete spermatogenesis, round elongated spermatids, no mature sperm (sperm present in semen sample)
G: 0.75 (r)No gonadal tissueNANANANANANAUT, FT ULWR
12B: 3 (l)Dysgenetic testisDichotomized seminiferous tubules predominantly with Sertoli cellsNFew spermatogoniaNA due to ageUT-like structureWR3G
G: 6 (l)Hypoplastic TAPrepubertal seminiferous tubules invading TARareNNA due to age
Dysgenetic testis; thickened TA
B: 6 (r)Prepubertal testisNormalNormalNNA due to age
13B: 2 (l)Prepubertal testisNA due to ageUT, FTG
14B: 1.5Streak gonadNANANAOvarian-like tissueAbsentNA due to ageUT, FTG
G: 6NA due to age
15G: 1 (l)Streak gonadNANANAStreak gonadAbsentNA due to ageFT ULVD UL2.5G
G: 2 (r)Dysgenetic testisNA due to age
16B:21 (l)Hypotrophic testisHyalinizedRareNAAbsentAbsentUT, FT ULVD, EP UL2.5G
G:3 (r)Atrophic testisNA due to age
17G: 3 (l)Dysgenetic testis and ovarian tissueSeminiferous tubules without germ cellsYOvarian tissueAbsent, no malignancyNA due to age4G
B: 3 (r)Dysgenetic testisNo malignancyNA due to age
18G: 1 (l)Steak gonadNANANAStreak gonadAbsent, no malignancyNA due to age8.5G
B: 1 (r)Dysgenetic testisNo malignancyNA due to age
B: 5 (r)Dysgenetic testisNA due to age
19G: 4Dysgenetic gonadNo malignancyNA due to age5G
B: 11
20B/G: 5Fibrous tissueNo malignancyNA due to age6G
21B: 3.3 (r)Prepubertal testisPresence of germ cells uncertainNA due to ageEPG
22G: 1.9 (l)Dysgenetic gonadFew nests of sex cordsOvarian- like tissueAbsentNA due to ageFTWRG
23G: 1.5 (l)Dysgenetic gonad UGTAbnormalYOvarian-like tissue with germ cells presentPresent, presence of primordial follicles uncertainNA due to ageRudimentary UT, FTG
B: 9.5 (r)No gonadal tissueNANANANANANAFimbriae with edema
24G: 1.3 (l)Streak gonadNANANAOvarian-like tissueAbsentNA due to ageFTG
25B: 14.0 (l)No gonadal tissueNANANANANARudimentary UT, FT BLVD BL8G
B: 21.3 (l)Dysgenetic testisPresent, thick basal membrane, some hyalinizedHyperplasiaY/NAbsentPresent, no malignancySpermatocytic arrest
G: 14.0 (r)Ovotesticular remnantPresentOvotesticular remnantAbsent, no malignancyAbsent
26B: 1.9 (l)Prepubertal testisNormalPresence uncertain, fibrosisNAbsentPresent, no malignancyNA due to ageRudimentary UT, FL BLVD UL4G
G: 14.5 (l)Dysgenetic testisPresent, thick basal membraneHyperplasiaY/NAbsentPresent, GCNISOverall spermatocytic arrest, some spermatids present
G: 1.9 (r)Streak gonadNANANAOvarian-like tissueAbsent, no malignancyAbsent
27G: 2.2 (l)Fibrotic ovarian-like tissueNANANAOvarian-like tissueAbsentNAMR, rudimentary UT, FT BLVD, EP BL1G
B: 2.2 (r)Dysgenetic testisNormalPresentY/NAbsentSpermatogonia and gonocytes presentNA due to age
G: 14.2 (r)Prepubertal testisNormalPresentY/NAbsentPresent, GCNISNA due to age
28B: 43.7 (l)Dysgenetic testisPresent, some hyalinized, fibrosisHyperplasiaNAbsentAbsent, no malignancyAbsent9.5G
G: 42.8 (r)Streak gonadNANANAStreak gonadAbsent, no malignancyAbsentRudimentary UT, FT UL
29B: 16.1 (l)Dysgenetic testisPresentYAbsentAbsent, no malignancyAbsent7G
30B: 1.5 (l)Dysgenetic testisPresentUnknownYAbsentAbsent, no malignancyNA due to age4G
G: 12.0 (r)Streak gonadNANANAStreak gonadAbsent, no malignancyAbsent
31G: 22 (r)Dysgenetic testisPresent, GCNISG
32G: 0.08 (l)Streak gonadNANANAStreak gonadAbsentNA due to ageVD ULNG
B: 0.08 (r)Dysgenetic testisFew, abnormal, hyalinizedRareNAbsentNA due to age
33B: 0.42 (l)Dysgenetic testisFew, abnormal, hyalinizedRareNAbsentNA due to ageVD BL10NG
B: 0.42 (r)Dysgenetic testisFew, abnormal, hyalinizedRareNAbsentNA due to age
34B: 34.4 (l)Dysgenetic testisPresent, thick basal membranePresentYAbsentAbsent, no malignancyAbsent12NG
B: 34.4 (r)Dysgenetic testisPresent, thick basal membrane, some hyalinizedPresentY/NAbsentPresent, no malignancySpermatocytic arrest
35B: 28.2 (l)Dysgenetic testisPresent, thick basal membraneNormalYAbsentAbsent, no malignancyAbsent12NG
B: 28.2 (r)Dysgenetic testisPresent, thick basal membraneNormalYAbsentAbsent, no malignancyAbsent
36B: 30.1 (l)Dysgenetic testisPresent, thick basal membrane, some hyalinizedNormalYAbsentAbsent, no malignancyAbsent11NG
B: 30.1 (r)Dysgenetic testisPresent, thick basal membrane, some hyalinizedHyperplasiaYAbsentAbsent, no malignancyAbsent
37B: 18.77 (l)Dysgenetic testisPresent, thick basal membraneNormalNAbsentPresent, no malignancyOverall spermatocytic arrest, few spermatids present12NG
B: 18.77 (r)Dysgenetic testisPresent, thick basal membraneNormalNAbsentPresent, no malignancySpermatocytic arrest
38B: 36.3 (l)Dysgenetic testisPresent, thick basal membraneHyperplasiaY/NAbsentPresent, no malignancyOnly spermatogonia presentNG
B: 36.3 (r)Dysgenetic testisPresent, thick basal membraneHyperplasiaY/NAbsentPresent, no malignancyOnly spermatogonia present
39B: 49.4 (l)Dysgenetic testisPresent, thick basal membrane, some hyalinizedHyperplasiaY/NAbsentPresent, no malignancySpermatocytic arrest12NG
B: 49.4 (r)Dysgenetic testisPresent, thick basal membrane, some hyalinizedHyperplasiaY/NAbsentPresent, no malignancyOnly spermatogonia present
40B: 19.1 (l)Dysgenetic testisPresent, thick basal membraneHyperplasiaYAbsentAbsent, no malignancyAbsent12NG
B: 19.1 (r)Dysgenetic testisPresent, thick basal membraneHyperplasiaYAbsentAbsent, no malignancyAbsent
41B: 34.1 (l)Dysgenetic testisPresent, thick basal membrane, some hyalinizedPresent, fibrosisY/NAbsentPresent, no malignancySpermatocytic arrest11.5NG
B: 34.1 (r)Dysgenetic testisPresent, thick basal membranePresentYAbsentAbsent, no malignancyAbsent
42B: 17.1 (l)Normal testisPresent, no malignancyNormal spermatogenesis (small vol semen sample with conc of 114 mio/mL)Rudimentary UT, FT BL11.5NG
G: 15.6 (r)Streak gonadNANANAOvarian-like tissueAbsent, no malignancyAbsent
43B: 28.6 (l)Dysgenetic testisPresent, thick basal membrane, fibrosisPresentNAbsentPresent, GCNIS12NG
B: 28.6 (r)Slightly dysgenetic testisPresent, slightly thick basal membraneNormalNAbsentPresent, no malignancyPreserved spermatogenesis (semen sample with conc of 0.06 mio/mL, few progressively motile)
44B: 47.5 (l)Dysgenetic testisPresent, some atrophic and hyalinizedHyperplasiaYAbsentAbsentAbsentEP BL10.5NG
B: 47.5 (r)Dysgenetic testisPresent, some atrophic and hyalinizedHyperplasiaYAbsentAbsent, no malignancyAbsent
IDBiopsy or Gonadectomy: Age in Years (L/R)Overall MorphologyMale CharacteristicsFemale CharacteristicsGerm CellsSpermatogenesis/FolliclesInternal GenitaliaEMSGroup (N/NG)
Testicular TubulesLeydig CellsSCO, Y/N
FemaleMale
1G: 15 (l)Dysgenetic testisPresent, thick basal membrane, fibrosis; branched tubules, calcification.HyperplasiaYAbsentUT; FTEP4G
G: 15 (r)Müllerian derivatives
2G: 0.3 (l)Dysgenetic testisPrepubertal patternAbsentYAbsentNA due to ageUTEP4G
G: 0.3 (r)Dysgenetic testisPrepubertal patternAbsentYAbsentNA due to age
3G: 4 (l)TestisPrepubertal patternNANA due to ageUT; FT ULEP; VD UL1G
G: 4 (r)Streak gonadNANANAOvarian-like tissueAbsentNA due to age
4G: 2 (l)Wolffian and Müllerian derivativesNA due to ageFTEP9.5G
5B: 5 (l)Dysgenetic testisPrepubertal testisAbsentNPresentNA due to ageUT; FT BLEP BL8G
G: 5 (r)Streak gonadNANANAOvarian-like tissue with primitive sex cord structuresNA due to age
6B: 4.8 (l)Dysgenetic testisNormalPresentYAbsentNA due to ageFT ULVD, EP UL5.5G
G: 4.8 (r)Ovarian-like tissueNANANAOvarian-like tissueAbsentNA due to age
7B: 0.1 (l)Dysgenetic testisIrregular, abnormalNRare absentNA due to age, absentUT ULVD, EP UL5.5G
B: 15 (l)Dysgenetic testisIrregular, abnormalY
G: 1.0 (r)Ovarian-like tissueNANANAOvarian-like tissue with germ cells presentPresent, gonadoblastoma in situNA due to ageFT UL
8B: 1 (r)Prepubertal testis; abnormal area with peripheral microlithiasisNormalNormalNNA due to ageNormalG
9G: childhood (l)Prepubertal testisNA due to ageAgenesis of SVG
G: childhood (r)Streak gonadNANANAStreak gonadAbsentNA due to age
10B: 13.2 (l)Fibrous tissue without testicular morphologyAbsentAbsentAbsentAbsentFT, UT ULVD, EP UL3G
B: 13.2 (r)Testis without spermatogenesisNormalRareYFibrous ovarian-like tissueAbsentAbsent
G: 13.9 (r)
11B: 0.75 (l)Prepubertal testisNormalAbsentNNoneNormalNA due to ageUT, FT ULWR UL5.5G
B: 16Testis with partial atrophy and SCO; other parts with incomplete spermatogenesisMixed abnormal and normalNormalY/NNoneStrongly reduced number, no malignancyIncomplete spermatogenesis, round elongated spermatids, no mature sperm (sperm present in semen sample)
G: 0.75 (r)No gonadal tissueNANANANANANAUT, FT ULWR
12B: 3 (l)Dysgenetic testisDichotomized seminiferous tubules predominantly with Sertoli cellsNFew spermatogoniaNA due to ageUT-like structureWR3G
G: 6 (l)Hypoplastic TAPrepubertal seminiferous tubules invading TARareNNA due to age
Dysgenetic testis; thickened TA
B: 6 (r)Prepubertal testisNormalNormalNNA due to age
13B: 2 (l)Prepubertal testisNA due to ageUT, FTG
14B: 1.5Streak gonadNANANAOvarian-like tissueAbsentNA due to ageUT, FTG
G: 6NA due to age
15G: 1 (l)Streak gonadNANANAStreak gonadAbsentNA due to ageFT ULVD UL2.5G
G: 2 (r)Dysgenetic testisNA due to age
16B:21 (l)Hypotrophic testisHyalinizedRareNAAbsentAbsentUT, FT ULVD, EP UL2.5G
G:3 (r)Atrophic testisNA due to age
17G: 3 (l)Dysgenetic testis and ovarian tissueSeminiferous tubules without germ cellsYOvarian tissueAbsent, no malignancyNA due to age4G
B: 3 (r)Dysgenetic testisNo malignancyNA due to age
18G: 1 (l)Steak gonadNANANAStreak gonadAbsent, no malignancyNA due to age8.5G
B: 1 (r)Dysgenetic testisNo malignancyNA due to age
B: 5 (r)Dysgenetic testisNA due to age
19G: 4Dysgenetic gonadNo malignancyNA due to age5G
B: 11
20B/G: 5Fibrous tissueNo malignancyNA due to age6G
21B: 3.3 (r)Prepubertal testisPresence of germ cells uncertainNA due to ageEPG
22G: 1.9 (l)Dysgenetic gonadFew nests of sex cordsOvarian- like tissueAbsentNA due to ageFTWRG
23G: 1.5 (l)Dysgenetic gonad UGTAbnormalYOvarian-like tissue with germ cells presentPresent, presence of primordial follicles uncertainNA due to ageRudimentary UT, FTG
B: 9.5 (r)No gonadal tissueNANANANANANAFimbriae with edema
24G: 1.3 (l)Streak gonadNANANAOvarian-like tissueAbsentNA due to ageFTG
25B: 14.0 (l)No gonadal tissueNANANANANARudimentary UT, FT BLVD BL8G
B: 21.3 (l)Dysgenetic testisPresent, thick basal membrane, some hyalinizedHyperplasiaY/NAbsentPresent, no malignancySpermatocytic arrest
G: 14.0 (r)Ovotesticular remnantPresentOvotesticular remnantAbsent, no malignancyAbsent
26B: 1.9 (l)Prepubertal testisNormalPresence uncertain, fibrosisNAbsentPresent, no malignancyNA due to ageRudimentary UT, FL BLVD UL4G
G: 14.5 (l)Dysgenetic testisPresent, thick basal membraneHyperplasiaY/NAbsentPresent, GCNISOverall spermatocytic arrest, some spermatids present
G: 1.9 (r)Streak gonadNANANAOvarian-like tissueAbsent, no malignancyAbsent
27G: 2.2 (l)Fibrotic ovarian-like tissueNANANAOvarian-like tissueAbsentNAMR, rudimentary UT, FT BLVD, EP BL1G
B: 2.2 (r)Dysgenetic testisNormalPresentY/NAbsentSpermatogonia and gonocytes presentNA due to age
G: 14.2 (r)Prepubertal testisNormalPresentY/NAbsentPresent, GCNISNA due to age
28B: 43.7 (l)Dysgenetic testisPresent, some hyalinized, fibrosisHyperplasiaNAbsentAbsent, no malignancyAbsent9.5G
G: 42.8 (r)Streak gonadNANANAStreak gonadAbsent, no malignancyAbsentRudimentary UT, FT UL
29B: 16.1 (l)Dysgenetic testisPresentYAbsentAbsent, no malignancyAbsent7G
30B: 1.5 (l)Dysgenetic testisPresentUnknownYAbsentAbsent, no malignancyNA due to age4G
G: 12.0 (r)Streak gonadNANANAStreak gonadAbsent, no malignancyAbsent
31G: 22 (r)Dysgenetic testisPresent, GCNISG
32G: 0.08 (l)Streak gonadNANANAStreak gonadAbsentNA due to ageVD ULNG
B: 0.08 (r)Dysgenetic testisFew, abnormal, hyalinizedRareNAbsentNA due to age
33B: 0.42 (l)Dysgenetic testisFew, abnormal, hyalinizedRareNAbsentNA due to ageVD BL10NG
B: 0.42 (r)Dysgenetic testisFew, abnormal, hyalinizedRareNAbsentNA due to age
34B: 34.4 (l)Dysgenetic testisPresent, thick basal membranePresentYAbsentAbsent, no malignancyAbsent12NG
B: 34.4 (r)Dysgenetic testisPresent, thick basal membrane, some hyalinizedPresentY/NAbsentPresent, no malignancySpermatocytic arrest
35B: 28.2 (l)Dysgenetic testisPresent, thick basal membraneNormalYAbsentAbsent, no malignancyAbsent12NG
B: 28.2 (r)Dysgenetic testisPresent, thick basal membraneNormalYAbsentAbsent, no malignancyAbsent
36B: 30.1 (l)Dysgenetic testisPresent, thick basal membrane, some hyalinizedNormalYAbsentAbsent, no malignancyAbsent11NG
B: 30.1 (r)Dysgenetic testisPresent, thick basal membrane, some hyalinizedHyperplasiaYAbsentAbsent, no malignancyAbsent
37B: 18.77 (l)Dysgenetic testisPresent, thick basal membraneNormalNAbsentPresent, no malignancyOverall spermatocytic arrest, few spermatids present12NG
B: 18.77 (r)Dysgenetic testisPresent, thick basal membraneNormalNAbsentPresent, no malignancySpermatocytic arrest
38B: 36.3 (l)Dysgenetic testisPresent, thick basal membraneHyperplasiaY/NAbsentPresent, no malignancyOnly spermatogonia presentNG
B: 36.3 (r)Dysgenetic testisPresent, thick basal membraneHyperplasiaY/NAbsentPresent, no malignancyOnly spermatogonia present
39B: 49.4 (l)Dysgenetic testisPresent, thick basal membrane, some hyalinizedHyperplasiaY/NAbsentPresent, no malignancySpermatocytic arrest12NG
B: 49.4 (r)Dysgenetic testisPresent, thick basal membrane, some hyalinizedHyperplasiaY/NAbsentPresent, no malignancyOnly spermatogonia present
40B: 19.1 (l)Dysgenetic testisPresent, thick basal membraneHyperplasiaYAbsentAbsent, no malignancyAbsent12NG
B: 19.1 (r)Dysgenetic testisPresent, thick basal membraneHyperplasiaYAbsentAbsent, no malignancyAbsent
41B: 34.1 (l)Dysgenetic testisPresent, thick basal membrane, some hyalinizedPresent, fibrosisY/NAbsentPresent, no malignancySpermatocytic arrest11.5NG
B: 34.1 (r)Dysgenetic testisPresent, thick basal membranePresentYAbsentAbsent, no malignancyAbsent
42B: 17.1 (l)Normal testisPresent, no malignancyNormal spermatogenesis (small vol semen sample with conc of 114 mio/mL)Rudimentary UT, FT BL11.5NG
G: 15.6 (r)Streak gonadNANANAOvarian-like tissueAbsent, no malignancyAbsent
43B: 28.6 (l)Dysgenetic testisPresent, thick basal membrane, fibrosisPresentNAbsentPresent, GCNIS12NG
B: 28.6 (r)Slightly dysgenetic testisPresent, slightly thick basal membraneNormalNAbsentPresent, no malignancyPreserved spermatogenesis (semen sample with conc of 0.06 mio/mL, few progressively motile)
44B: 47.5 (l)Dysgenetic testisPresent, some atrophic and hyalinizedHyperplasiaYAbsentAbsentAbsentEP BL10.5NG
B: 47.5 (r)Dysgenetic testisPresent, some atrophic and hyalinizedHyperplasiaYAbsentAbsent, no malignancyAbsent

Ovarian-like tissue does not contain follicles unless specifically indicated.

Abbreviations: —, information not available; B, biopsy; BL, bilateral; EP, epididymis; FT, fallopian tubes; G, genital (last column); G, gonadectomy (column 2); ID, identification; l, left; mio/mL, million per milliliter; MR, Müllerian remnants; N, no; NA, not applicable; NG, nongenital; r, right; SCO, Sertoli cell only; SV, seminal vesicle; TA, tunica albuginea; UGT, undifferentiated; UL, unilateral; UT, uterus; VD, vas deferens; vol, volume; WR, Wolffian duct remnants; Y, yes.

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