Synchronous Leydig Cell Tumor and Seminoma in the Ipsilateral Testis

Leydig cell tumor is a rare sex cord tumor that accounts for 1–3% of all testicular neoplasms. Seminomas are more common and occur in 30–40% of testicular tumors. Leydig cell tumors are derived from undifferentiated gonadal mesenchyme and the concurrent development of the tumor and a seminoma which...

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Main Authors: Ifeyinwa E. Obiorah, Alexandra Kyrillos, Metin Ozdemirli
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2018/8747131
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author Ifeyinwa E. Obiorah
Alexandra Kyrillos
Metin Ozdemirli
author_facet Ifeyinwa E. Obiorah
Alexandra Kyrillos
Metin Ozdemirli
author_sort Ifeyinwa E. Obiorah
collection DOAJ
description Leydig cell tumor is a rare sex cord tumor that accounts for 1–3% of all testicular neoplasms. Seminomas are more common and occur in 30–40% of testicular tumors. Leydig cell tumors are derived from undifferentiated gonadal mesenchyme and the concurrent development of the tumor and a seminoma which are derived from germinal epithelium in an ipsilateral testis is extremely rare. Here we report a case of ipsilateral Leydig cell tumor and seminoma occurring in a 38-year-old man with a left testicular mass. The key to diagnosis is dependent on histopathology and immunohistochemistry. To our knowledge, this is the first diagnosis of the two disease entities in a unilateral testis using immunohistochemistry. Increased awareness of the entity is important in order to distinguish Leydig cell tumor and seminomas from other malignancies due to difference in therapeutic management.
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institution Kabale University
issn 2090-696X
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language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Case Reports in Urology
spelling doaj-art-dc1690daa3744926a90b5a249a9894f72025-02-03T01:01:46ZengWileyCase Reports in Urology2090-696X2090-69782018-01-01201810.1155/2018/87471318747131Synchronous Leydig Cell Tumor and Seminoma in the Ipsilateral TestisIfeyinwa E. Obiorah0Alexandra Kyrillos1Metin Ozdemirli2Department of Pathology, MedStar Georgetown University Hospital, Washington, DC, USADepartment of Pathology, MedStar Georgetown University Hospital, Washington, DC, USADepartment of Pathology, MedStar Georgetown University Hospital, Washington, DC, USALeydig cell tumor is a rare sex cord tumor that accounts for 1–3% of all testicular neoplasms. Seminomas are more common and occur in 30–40% of testicular tumors. Leydig cell tumors are derived from undifferentiated gonadal mesenchyme and the concurrent development of the tumor and a seminoma which are derived from germinal epithelium in an ipsilateral testis is extremely rare. Here we report a case of ipsilateral Leydig cell tumor and seminoma occurring in a 38-year-old man with a left testicular mass. The key to diagnosis is dependent on histopathology and immunohistochemistry. To our knowledge, this is the first diagnosis of the two disease entities in a unilateral testis using immunohistochemistry. Increased awareness of the entity is important in order to distinguish Leydig cell tumor and seminomas from other malignancies due to difference in therapeutic management.http://dx.doi.org/10.1155/2018/8747131
spellingShingle Ifeyinwa E. Obiorah
Alexandra Kyrillos
Metin Ozdemirli
Synchronous Leydig Cell Tumor and Seminoma in the Ipsilateral Testis
Case Reports in Urology
title Synchronous Leydig Cell Tumor and Seminoma in the Ipsilateral Testis
title_full Synchronous Leydig Cell Tumor and Seminoma in the Ipsilateral Testis
title_fullStr Synchronous Leydig Cell Tumor and Seminoma in the Ipsilateral Testis
title_full_unstemmed Synchronous Leydig Cell Tumor and Seminoma in the Ipsilateral Testis
title_short Synchronous Leydig Cell Tumor and Seminoma in the Ipsilateral Testis
title_sort synchronous leydig cell tumor and seminoma in the ipsilateral testis
url http://dx.doi.org/10.1155/2018/8747131
work_keys_str_mv AT ifeyinwaeobiorah synchronousleydigcelltumorandseminomaintheipsilateraltestis
AT alexandrakyrillos synchronousleydigcelltumorandseminomaintheipsilateraltestis
AT metinozdemirli synchronousleydigcelltumorandseminomaintheipsilateraltestis