Benign Leydig cell tumour and germ cell carcinoma in situ in a young man with gynaecomastia

Autor: M. S. Mann, J. P. Hopewell, R. S. Fink, J. Ginsburg
Rok vydání: 1984
Předmět:
Zdroj: Postgraduate Medical Journal. 60:66-69
ISSN: 1469-0756
0032-5473
DOI: 10.1136/pgmj.60.699.66
Popis: Summary A 21-year-old man presented with a 16-year history of recurrent pyrexial episodes and a 5-year history of gynaecomastia. Blood and urinary oestrogen levels were elevated and a mass was found in the upper pole of a retractile right testis. After orchidectomy, oestrogen levels fell, gynaecomastia regressed and the pyrexial episodes ceased. Histological examination of the right testis showed a benign Leydig cell tumour in the upper pole and a germinal cell carcinoma in situ in the remaining part of the testis. Thus a potentially lethal condition was detected at an early pre-malignant phase by virtue of a benign, endocrinologically active tumour. This would seem to be the first report of the co-existence of a Leydig cell tumour and germ cell carcinoma in the same testis.
Databáze: OpenAIRE