Diagnostic Challenges of an Extremely Large Testicular Adrenal Rest Tumor - a Case Report
Author(s):
Article Type:
Research/Original Article (دارای رتبه معتبر)
Abstract:
Background
Congenital adrenal hyperplasia (CAH) is an autosomal recessive genetic disorder characterized by elevated levels of adrenocorticotropic hormone (ACTH) and overproduction of adrenal sex steroids. It is speculated that the correlation between CAH and testicular adrenal rest tumors (TARTs) is caused through ACTH-triggered progression of aberrant adrenal cells in testes.Case Presentation
Here, we present a case of a nine-year-old boy with bilateral testicular masses referred to Ghaem hospital (Mashhad, Iran), in the summer of 2019. Laboratory studies revealed elevated ACTH and 17-hydroxyprogesterone confirming the diagnosis of CAH. Radiologic assessment showed bilateral multiple heterogeneous masses that had replaced the normal testicular tissue.Conclusions
Due to the rare nature of TARTs and their manifestations, many of these patients, like ours don’t get prompt detection. It seems crucial for urologists and radiologists to be familiar with this condition as a benign differential diagnosis of bilateral testicular tumorsLanguage:
English
Published:
International Journal of Pediatrics, Volume:9 Issue: 93, Sep 2021
Pages:
14393 to 14399
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