[Approximation to conservative surgery of Leydig cell tumor].
OBJECTIVE
To analyze the clinical and histological characteristics of 5 cases of Leydig cell tumor in order to establish the criteria for conservative surgical management.


METHODS
Of 31 testicular tumors diagnosed from 1982-1993, 5(16.1%) were Leydig cell tumors. We analyzed patient general characteristics, the prevalent feminizing (60%) and hypogonadal features and the histopathological characteristics that might indicate a non aggressive course of the tumor.


RESULTS
No metastasis was observed at 522.9 months mean follow up. Three patients underwent orchidectomy through the inguinal approach; one case had been incidentally discovered after subalbuginea resection due to a disseminated prostatic carcinoma and the fifth patient was treated conservatively by tumorectomy and is tumor-free at more than 120 months follow up.


CONCLUSIONS
Parenchyma-sparing surgery may have a place in the treatment of interstitial cell tumor, with evident endocrinological and psychological benefits, especially in the young males that meet the clinical and histological criteria for conservative surgical management.
Pobil Moreno
J L
JL
Servicio de Urología, Hospital Universitario Virgen del Rocío, Sevilla, España.
Martínez Rodríguez
J
J
Maestro Durán
J L
JL
Morales López
A
A
D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D007984:Leydig Cell Tumor / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013736:Testicular Neoplasms / Q000601:surgery*