[Bilateral testicular tumors caused by congenital adrenal rest hyperplasia].
| Autor: | Fernandes VO; Serviço de Endocrinologia e Diabetes, Hospital Universitário Walter Cantídio, Universidade Federal do Ceará, Fortaleza, CE, Brasil., Barros AI, Quidute AR, Montenegro AP, Fontenele EG, Sales AP, Montenegro RM, Ferreira FV, Montenegro RM Jr |
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| Jazyk: | portugalština |
| Zdroj: | Arquivos brasileiros de endocrinologia e metabologia [Arq Bras Endocrinol Metabol] 2009 Nov; Vol. 53 (8), pp. 1052-8. |
| DOI: | 10.1590/s0004-27302009000800022 |
| Abstrakt: | Objectives: Testicular tumors are a rare condition associated with congenital adrenal hyperplasia (CAH), originated from intratesticular adrenal rest tumors, and they are rarely associated with malignant tumors. Their histological differentiation from Leydig-cell tumors is quite difficult, which would lead to inappropriate orchiectomies. Thus the objective of this report was to present this diagnostic dilemma. Methods: Reported the case of 16-yr-old boy with previous diagnosis of CAH with bilateral testicular enlargement who was recommended to be submitted to a bilateral orchiectomy. Results: Considering this findings, it was decided to treat conventionally with prednisone with significant reduction of testicular volume, and normalization of androgens levels. Conclusion: This case shows the importance of intratesticular adrenal rest tumors in the differential diagnosis of testicular tumors. Cautious approach during investigation and treatment are recommended to avoid inappropriate orchiectomies. |
| Databáze: | MEDLINE |
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