title: Surgical enucleation of testicular leydigioma in a young child: case report and literature review.
abstract: BACKGROUND
  The leydigioma is the most frequent interstitial neoplasm of the testis. Clinical symptoms of all leydigioma usually are isosexual precocious pseudo-puberty due to autonomous testosterone overproduction, suppressed gonadotropin levels and a testis mass. Nowadays its therapy is debated.
  
  
  METHODS
  We report a case of a young child treated in 2008 for a leydigioma of the testis with atypical clinical behavior. Testicular oncologic markers and hormonal profile were assessed.
  
  
  RESULTS
  The patient was treated successfully with organ-confined surgery.
  
  
  CONCLUSIONS
  We want to confirm the safety of conservative surgery against radical orchiectomy and review the literature of the last decade on this debated matter.
authors.affiliation: Division of Pediatric Surgery, Regina Margherita Children's Hospital, Turin, Italy. riccardoguan@gmail.com
authors.forename: Riccardo
authors.initials: R
authors.lastname: Guanà
authors.forename: Alessandro
authors.initials: A
authors.lastname: Mussa
authors.forename: Roberto
authors.initials: R
authors.lastname: Lala
authors.forename: Daniele
authors.initials: D
authors.lastname: Tessaris
authors.forename: Patrizia Maiullari Erasmo
authors.initials: PM
authors.lastname: Tessiatore
authors.forename: Ferdinando
authors.initials: F
authors.lastname: Canavese
mesh_terms: D002675:Child, Preschool; D006801:Humans; D007984:Leydig Cell Tumor / Q000601:surgery*; D008297:Male; D059351:Organ Sparing Treatments / Q000379:methods*; D013736:Testicular Neoplasms / Q000601:surgery*; D013737:Testis / Q000601:surgery*