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- Title
Unusual Presentation of Simple Virilising Congenital Adrenal Hyperplasia as a Testicular Adrenal Rest Tumor.
- Authors
Deeb, Asma; Khan, Azaz; Gawhary, Amin; Al-Zubaidi, Muhannad; Moussa, Emad; Hughes, Ieuan A.
- Abstract
Testicular adrenal rest tumors are commonly seen in congenital adrenal hyperplasia. The tumors are typically bilateral and arise from ACTH dependent aberrant adrenal cells in the testes. Diagnosis is clinically confirmed by ultrasound imaging. These tumors are characterized by their response to steroid replacement and biopsy is not routinely required. Differentiating the tumor from Leydig cell tumor can be difficult. Management and prognosis for these two pathologies are different, so extensive investigations may be required to confirm the diagnosis. We present a 5 year old boy who had an unusual presentation of a testicular tumor and detail the investigations undertaken to differentiate a testicular adrenal rest tumor from a Leydig cell tumor.
- Subjects
ADRENOGENITAL syndrome; TESTIS tumors; TESTICULAR diseases; ULTRASONIC imaging; LEYDIG cell tumors; CANCER cell differentiation; BIOPSY; DISEASE management; DIAGNOSIS
- Publication
Ibnosina Journal of Medicine & Biomedical Sciences, 2014, Vol 6, Issue 6, p313
- ISSN
1947-489X
- Publication type
Abstract
- DOI
10.4103/1947-489X.210396