Disorders of sexual development and sex hormones Quiz: Ace Your Exams
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A 15-year-old boy presents to a primary care physician for evaluation of worsening gynecomastia for three years. The patient smokes marijuana regularly but does not take medications for any underlying medical conditions. Examination reveals a well-appearing male with Tanner IV breast tissue, Tanner V pubic hair and a 5 cm mobile mass superior to the left gonad. The patient’s right gonad is not palpable. The patient noticed the mass one year prior, but thought it was normal and never sought evaluation. An ultrasound is conducted, which reveals a cystic mass with fluid levels. A biopsy is conducted, revealing seminiferous tubules with small round Sertoli cells and both primordial follicles and follicular cells. Which of the following is an additional clinical finding to be expected with this patient’s condition?
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