title: Leydig cell tumour: enucleation as a therapeutic choice in a case with atypical symptoms.
abstract: OBJECTIVE
  Testicular tumours are rare in paediatric patients, accounting for only 1% of tumours in boys. Leydig cell tumours are the most common gonadal stromal tumours. Since these tumours are functionally active, secreting testosterone, they characteristically produce isosexual pseudoprecocious puberty (IPP), the customary therapeutic choice being radical orchiectomy. Nowadays, considering that Leydig cell tumour in boys are invariably benign, some authors suggest a more conservative choice of therapy.
  
  
  METHODS
  This article presents the case of a patient with a cytological and immunohistochemical diagnosis of Leydig cell tumour with no clinical symptoms of IPP. The treatment carried out was enucleation of the tumour through a transcrotal access with subsequent follow-up monitoring.
  
  
  RESULTS
  After 2 years of follow up the patient remains free of symptoms and shows a degree of sexual development corresponding to his age.
  
  
  CONCLUSIONS
  We consider enucleation of the tumour to be a safe and effective therapy as an alternative to radical orchiectomy.
authors.affiliation: Pediatric Surgery, Urology Unit and Pathology Department, CHUAC, Paseo de los Puentes 1-1B, A Coruña, Spain. mir_milenio@hotmail.com
authors.forename: Miriam
authors.initials: M
authors.lastname: García
authors.forename: Teresa
authors.initials: T
authors.lastname: Dargallo
authors.forename: María
authors.initials: M
authors.lastname: Palacios
authors.forename: J
authors.initials: J
authors.lastname: Carames
authors.forename: Javier
authors.initials: J
authors.lastname: Gómez
authors.forename: Felipe
authors.initials: F
authors.lastname: Sacristán
authors.forename: Diego
authors.initials: D
authors.lastname: Vela
mesh_terms: D002648:Child; D012739:Gonadal Steroid Hormones / Q000097:blood; D006801:Humans; D007150:Immunohistochemistry; D007265:Inhibins / Q000378:metabolism; D007984:Leydig Cell Tumor / Q000473:pathology / Q000601:surgery*; D008297:Male; D013736:Testicular Neoplasms / Q000473:pathology / Q000601:surgery*; D013737:Testis / Q000473:pathology / Q000601:surgery
chemical_list: D012739:Gonadal Steroid Hormones; D007265:Inhibins