Ságodi L, Borbás E, Réti G, Minik K, Sólyom E
Borsod-Abaúj-Zemplén Megyei Kórház-Rendelóintézet.
Orv Hetil. 2001 Jan 28;142(4):179-82.
Testicular tumors are very rare in boys, approximately 1.5% of these are Leydig cell tumors. The authors present a 4.5 year-old boy with Leydig cell tumor of left testis, which was associated with increased sex steroid production that caused precocious puberty. These tumors are benign processes in prepubertal children. Beyond the rarity of this case the authors would like to report about its diagnostic difficulties and testis-sparing remove of it. The plasma 17-hydroxyprogesterone levels provide the distinction between congenital adrenal hyperplasia and Leydig cell tumor in patient with precocious puberty.
睾丸肿瘤在男孩中非常罕见，其中约1.5%为莱迪希细胞瘤。作者报告了一名4.5岁患有左侧睾丸莱迪希细胞瘤的男孩，该肿瘤与性类固醇分泌增加有关，导致性早熟。这些肿瘤在青春期前儿童中属于良性病变。除了该病例的罕见性外，作者还想报告其诊断困难以及保留睾丸的切除术。血浆17-羟孕酮水平有助于鉴别性早熟患者是先天性肾上腺增生还是莱迪希细胞瘤。
