Successful management of Leydig Cell Tumor in a 65-year-Old patient: A rare case report

Leydig cell tumors (LCTs) are rare testicular neoplasms, representing 1–3% of all testicular tumors. A 65-year-old male presented with a painless left scrotal mass. Ultrasound revealed a 61 × 53 × 35 mm tumor with heterogeneous echogenicity and abundant blood supply. Radical orchidectomy was perform...

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Main Authors: Hasan Haydar, Ayham Qatza, Saja Karaja, Anagheem Alkhleef, Mohamad Yasin Lutfi, Habib Jarbouh
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Urology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S221444202400281X
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author Hasan Haydar
Ayham Qatza
Saja Karaja
Anagheem Alkhleef
Mohamad Yasin Lutfi
Habib Jarbouh
author_facet Hasan Haydar
Ayham Qatza
Saja Karaja
Anagheem Alkhleef
Mohamad Yasin Lutfi
Habib Jarbouh
author_sort Hasan Haydar
collection DOAJ
description Leydig cell tumors (LCTs) are rare testicular neoplasms, representing 1–3% of all testicular tumors. A 65-year-old male presented with a painless left scrotal mass. Ultrasound revealed a 61 × 53 × 35 mm tumor with heterogeneous echogenicity and abundant blood supply. Radical orchidectomy was performed, and immunohistochemistry confirmed LCT with positivity for Inhibin A and calretinin, and negativity for CK, chromogranin, LCA, and low Ki67. Postoperative follow-up at 6 months showed improved condition, no scrotal masses, and normal tumor markers. Finally, LCTs in older males require differential diagnosis; hormonal activity impacts presentation. Conservative management and monitoring are crucial.
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institution Kabale University
issn 2214-4420
language English
publishDate 2025-01-01
publisher Elsevier
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series Urology Case Reports
spelling doaj-art-64ef037dc88740e59a829c026cd538052025-01-14T04:12:23ZengElsevierUrology Case Reports2214-44202025-01-0158102927Successful management of Leydig Cell Tumor in a 65-year-Old patient: A rare case reportHasan Haydar0Ayham Qatza1Saja Karaja2Anagheem Alkhleef3Mohamad Yasin Lutfi4Habib Jarbouh5Faculty of Medicine, Hama University, Hama, Syrian Arab Republic; Corresponding author.Faculty of Medicine, Hama University, Hama, Syrian Arab RepublicFaculty of Medicine, Hama University, Hama, Syrian Arab RepublicHama National Hospital, Internal Medicine Department, Hama, Syrian Arab RepublicHama National Hospital, Urology Department, Hama, Syrian Arab RepublicFaculty member, Faculty of Medicine, Pathology Department, Damascus University, Damascus, Syrian Arab RepublicLeydig cell tumors (LCTs) are rare testicular neoplasms, representing 1–3% of all testicular tumors. A 65-year-old male presented with a painless left scrotal mass. Ultrasound revealed a 61 × 53 × 35 mm tumor with heterogeneous echogenicity and abundant blood supply. Radical orchidectomy was performed, and immunohistochemistry confirmed LCT with positivity for Inhibin A and calretinin, and negativity for CK, chromogranin, LCA, and low Ki67. Postoperative follow-up at 6 months showed improved condition, no scrotal masses, and normal tumor markers. Finally, LCTs in older males require differential diagnosis; hormonal activity impacts presentation. Conservative management and monitoring are crucial.http://www.sciencedirect.com/science/article/pii/S221444202400281XLeydig cell tumorTesticular neoplasmsRadical orchidectomyCase report
spellingShingle Hasan Haydar
Ayham Qatza
Saja Karaja
Anagheem Alkhleef
Mohamad Yasin Lutfi
Habib Jarbouh
Successful management of Leydig Cell Tumor in a 65-year-Old patient: A rare case report
Urology Case Reports
Leydig cell tumor
Testicular neoplasms
Radical orchidectomy
Case report
title Successful management of Leydig Cell Tumor in a 65-year-Old patient: A rare case report
title_full Successful management of Leydig Cell Tumor in a 65-year-Old patient: A rare case report
title_fullStr Successful management of Leydig Cell Tumor in a 65-year-Old patient: A rare case report
title_full_unstemmed Successful management of Leydig Cell Tumor in a 65-year-Old patient: A rare case report
title_short Successful management of Leydig Cell Tumor in a 65-year-Old patient: A rare case report
title_sort successful management of leydig cell tumor in a 65 year old patient a rare case report
topic Leydig cell tumor
Testicular neoplasms
Radical orchidectomy
Case report
url http://www.sciencedirect.com/science/article/pii/S221444202400281X
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