Testicular Adrenal Rest Tumors in a Patient With Congenital Adrenal Hyperplasia.
17-hydroxyprogesterone
adrenocorticotropic hormone
bilateral testicular tumors
congenital adrenal hyperplasia
testicular adrenal rest tumors
testicular ultrasound
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
received:
04
07
2022
accepted:
23
08
2022
entrez:
28
9
2022
pubmed:
29
9
2022
medline:
29
9
2022
Statut:
epublish
Résumé
Ultrasound is the imaging examination of choice for evaluation of suspected testicular pathology. The differential diagnosis of bilateral testicular lesions includes malignancy such as lymphoma and metastases, infection, and, uncommonly, adrenal rest tumors. We present a patient who developed bilateral testicular adrenal rest tumors after years of poorly controlled congenital adrenal hyperplasia, possibly due to chronically elevated adrenocorticotropic hormone stimulating the growth of testicular stem cells. Our patient also has a testicular ultrasound appearance that is hyperechogenic, rather than hypoechogenic as commonly described in the literature. Treatment adherence is important in the management of congenital adrenal hyperplasia, as testicular adrenal rest tumors may eventually lead to infertility.
Identifiants
pubmed: 36168332
doi: 10.7759/cureus.28350
pmc: PMC9506676
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e28350Informations de copyright
Copyright © 2022, Yu et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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