title: [Adrenal adenoma with bilateral testicular Leydig cell tumor: a case report].
abstract: A case of left adrenal adenoma with bilateral testicular Leydig cell tumor in a 38-year-old man is reported. He had received bilateral orchiectomy for testicular Leydig cell tumor at the age of 37. After operation computed tomography revealed left adrenal mass and aldosterone-secreting adrenal tumor was suspected. Left adrenalectomy was performed and histopathological diagnosis was adrenocortical adenoma. Serum ACTH, aldosterone and plasma renin activity were still high after operation. The adrenal cortex and gonads are of common embryologic origin and the histologic pattern may overlap. Examination of the adrenal gland is necessary for the patient with a testicular Leydig cell tumor.
authors.affiliation: Department of Urology, Osaka National Hospital.
authors.forename: Y
authors.initials: Y
authors.lastname: Kobayashi
authors.forename: Y
authors.initials: Y
authors.lastname: Yasunaga
authors.forename: K
authors.initials: K
authors.lastname: Matsumiya
authors.forename: T
authors.initials: T
authors.lastname: Oka
authors.forename: M
authors.initials: M
authors.lastname: Takaha
authors.forename: A
authors.initials: A
authors.lastname: Kurata
authors.forename: N
authors.initials: N
authors.lastname: Kondoh
authors.forename: H
authors.initials: H
authors.lastname: Kiychara
mesh_terms: D000236:Adenoma / Q000000981:diagnostic imaging / Q000473:pathology*; D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D000315:Adrenalectomy; D000328:Adult; D006801:Humans; D007984:Leydig Cell Tumor / Q000473:pathology*; D008297:Male; D016609:Neoplasms, Second Primary; D009919:Orchiectomy; D013736:Testicular Neoplasms / Q000473:pathology*; D014057:Tomography, X-Ray Computed