Testis sparing surgery for Leydig cell tumor, surgical approach, and clinical outcome: A case report and review of literature

Faris Abushamma ^1,2, Naim Qamhia ³, Amir Aghbar ^1,2

⁰Department of Medicine, College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.

Sage Open Medical Case Reports +

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May 30, 2024

View abstract on PubMed

Summary

This study details a rare Leydig cell tumor case in a 49-year-old male, successfully treated with testis-sparing surgery. Vigilant postoperative surveillance is crucial for Leydig cell tumor management.

Area Of Science

Oncology
Urology
Pathology

Background

Leydig cell tumors are rare testicular neoplasms, typically benign but with potential for malignancy.
This report focuses on a specific case of incidentally discovered Leydig cell tumor.

Observation

A 49-year-old male presented with an incidentally found testicular mass.
Ultrasonography identified a 7 × 7 × 4 mm hypoechoic, vascularized lesion near the tunica albuginea.

Findings

Testis-sparing surgery was performed using intraoperative ultrasound guidance and en-bloc resection.
Histopathology confirmed Leydig cell tumor with no high-risk features; the patient recovered well.

Implications

This case highlights the successful application of a modified testis-sparing surgical approach for Leydig cell tumors.
Emphasizes the necessity of regular postoperative surveillance to detect potential recurrence after such procedures.

Keywords:

Testicular Leydig cell tumors non-germ cell tumor testicle-sparing surgery testicular mass