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

Author:

Abushamma Faris12ORCID,Qamhia Naim3,Aghbar Amir12ORCID,Abu Alwafa Rola1ORCID,Khader Mohammed14,Akkawi Maha13

Affiliation:

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

2. Department of Urology, An-Najah National University Hospital, Nablus, Palestine

3. Department of Pathology, An-Najah National University Hospital, Nablus, Palestine

4. Department of Radiology, An-Najah National University Hospital, Nablus, Palestine

Abstract

Testicular Leydig cell tumors are rare neoplasms of the testes. These tumors are generally benign but malignancy and metastatic potential have been described. Here, we present a case of Leydig cell tumor in a 49-year-old male, incidentally discovered as a testicular mass. The patient had no significant previous medical history. Ultrasonography revealed a hypoechoic, well-defined, vascularized lesion measuring 7 × 7 × 4 mm adjacent to the tunica albuginea. The patient underwent testis sparing surgery, employing a modified approach including intraoperative ultrasound-guided localization, en-bloc wedge resection of the lesion with surrounding tunica albuginea and seminiferous tubules, and gubernaculum sparing surgery. Postoperatively, the patient had an uneventful recovery and was discharged on the same day. Histopathological examination confirmed the diagnosis of Leydig cell tumor, with no high-risk pathological features observed. Regular follow-up intervals were scheduled to monitor for potential recurrence, emphasizing the importance of vigilant postoperative surveillance in cases of testis-sparing surgery for Leydig cell tumors.

Publisher

SAGE Publications

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