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Archivos Españoles de Urología (Ed. impresa)

Print version ISSN 0004-0614


PASTOR NAVARRO, Héctor et al. Current status of the diagnosis and treatment of Leydig cell testicular tumor: Report of two cases. Arch. Esp. Urol. [online]. 2008, vol.61, n.1, pp.27-33. ISSN 0004-0614.

Objectives: To review the current diagnosis and treatment of Leydig cell testicular tumors, with special attention to conservative treatment. Methods: We report two cases of Leydig cell tumor in young adults, diagnosed two years after the appearance of bilateral gynecomastia as first clinical symptom. Results: One year and eight months after orchyectomy, respectively, clinical symptoms completely disappear in the first case and significantly improved in the second. Conclusions: Around 10% of the cases, and only in adult patients, these tumors may be malignant, being radical orchyectomy the treatment of choice, although conservative surgery may be performed. Independently of the operation, follow-up must be prolonged.

Keywords : Testicular tumor; Leydig cell tumor; Gynecomastia; Hormones.

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