Gynecomastia Secondary to Choriocarcinoma In A Man With Persistant Mullerian Duct

Abstract

Persistent mullerian duct is a rare syndrome secondary to anti-mullerian hormone deficiency. Here we describe the case of a phenotypically fertile male who presented with bilateral tender gynecomastia. Other than a left undescendent testicle, which was palpable in the inguinalcanal, he had normal external gentalia. Physical examination revealed an abdominal mass, palpable in the supra pubic area. The ectopic testicle showed endometrial tissue. Abdominal mass proved to be choriocarcinoma. Later he developed distant metastasis to the lung and paraortic area