Testicular adrenal rest tumors

We report a case of congenital adrenal hyperplasia in a 29 year old patient, who presented with testicular pain, bilateral testicular masses, and oligospermia. Ultrasonography confirmed, in both testis, the presence of heterogeneous and hypoechoic lesions with irregular borders and internal and peri...

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Published inRevista internacional de andrologia Vol. 16; no. 3; p. 128
Main Authors Armas-Alvarez, Azucena Lirio, Salinas-Sánchez, Antonio Santiago, Atienzar-Tobarra, Manuel, Virseda-Rodriguez, Julio Antonio
Format Journal Article
LanguageEnglish
Published Spain 01.07.2018
Subjects
Hiperplasia suprarrenal congénita
Testicular adrenal rest tumors
Congenital adrenal hyperplasia
Testicular tumors
Tumores de restos suprarrenales testiculares
Tumores testiculares
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Summary:We report a case of congenital adrenal hyperplasia in a 29 year old patient, who presented with testicular pain, bilateral testicular masses, and oligospermia. Ultrasonography confirmed, in both testis, the presence of heterogeneous and hypoechoic lesions with irregular borders and internal and peripheral vascularization. Seric tumor markers were negative. The patient was scheduled for perioperative testicular biopsy and bilateral orchiectomy. Perioperative biopsy was suggestive of testicular adrenal rest tumor and not additional procedure was performed. Treatment was initiated with high doses of glucocorticoids, decreasing the size of testicular masses and testicular pain was alleviated.
ISSN:1698-0409
DOI:10.1016/j.androl.2017.10.001