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Testis sparing surgery for steroid unresponsive testicular tumors of the congenital adrenal hyperplasia.

Author(s): Sema Hucumenoglu, Tuğrul Tiryaki, Halil Atayurt, Zehra Aycan

Publication date: 2005-09-30

Journal: Pediatric Surgery International

Keywords: Adolescent, Adrenal Hyperplasia, Congenital, complications, Adrenal Rest Tumor, diagnosis, drug therapy, surgery, Child, Humans, Leydig Cell Tumor, Male, Testicular Neoplasms

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Abstract

The association between testicular tumors/nodules and congenital adrenal hyperplasia (CAH) has been recognized for many years. Tumors are considered to be an aberrant adrenal tissue that has descended with the testes and has become hyperplastic due to ACTH stimulation. The recommended treatment consists of increasing the glucocorticoid dose to suppress ACTH secretions. If the testicular size is not reduced after suppression therapy or a side effect of glucocorticoid dose is noted, surgical intervention should be considered. We diagnosed steroid unresponsive testicular tumors of the CAH in two patients who were treated by testicular sparing tumor enucleation. We believe that testis sparing surgery is the procedure of choice for all patients with testicular adrenal rest tumor, since it maximizes future fertility potential.

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PubMed ID:: 16180005

DOI:: 10.1007/s00383-005-1547-x

ScienceOpen disciplines: Chemistry

Keywords: Adolescent,Adrenal Hyperplasia, Congenital,complications,Adrenal Rest Tumor,diagnosis,drug therapy,surgery,Child,Humans,Leydig Cell Tumor,Male,Testicular Neoplasms

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ScienceOpen disciplines: Chemistry

Keywords: Adolescent, Adrenal Hyperplasia, Congenital, complications, Adrenal Rest Tumor, diagnosis, drug therapy, surgery, Child, Humans, Leydig Cell Tumor, Male, Testicular Neoplasms

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