Capitão Ricardo, Saraiva Catarina, Cunha Clara, Martins Mónica
Serviço de Endocrinologia. Hospital Egas Moniz. Lisboa. Portugal.
Unidade de Saúde Familiar do Dafundo. Lisboa. Portugal.
Acta Med Port. 2021 Feb 1;34(2):137-139. doi: 10.20344/amp.11882. Epub 2020 Sep 22.
Gynecomastia is a frequent sign that may be physiological or caused by various benign or malignant diseases. In rare cases, it may be caused by testicular tumors. We describe a case of progressive gynecomastia at age 20 due to a Leydig cell tumor of the right testicle in a patient with a previous history of left-sided cryptorchidism. The patient underwent orchidectomy and testicular prosthesis placement, with subsequent improvement of gynecomastia and normalization of estrogen. Our case, in addition to demonstrating that gynecomastia may regress if the underlying cause is treated in a timely manner, shows that cryptorchidism may be related with the development of Leydig cell tumors in the same way as it is in other testicular tumors.
男性乳房发育是一种常见体征,可能是生理性的,也可能由各种良性或恶性疾病引起。在罕见情况下,它可能由睾丸肿瘤引起。我们描述了一例20岁男性因右侧睾丸间质细胞瘤出现进行性男性乳房发育的病例,该患者既往有左侧隐睾病史。患者接受了睾丸切除术和睾丸假体植入,随后男性乳房发育得到改善,雌激素水平恢复正常。我们的病例除了表明如果及时治疗潜在病因男性乳房发育可能消退外,还表明隐睾可能与间质细胞瘤的发生有关,就像它与其他睾丸肿瘤的发生有关一样。