Tumores testiculares bilaterais por hiperplasia congênita de restos adrenais

Detalhes bibliográficos
Autor(a) principal: Sales, Ana Paula Abreu Martins
Data de Publicação: 2009
Outros Autores: Fernandes, Virginia Oliveira, Barros, Antonio Iran Souza, Quidute, Ana Rosa Pinto
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da Universidade Federal do Ceará (UFC)
Texto Completo: http://www.repositorio.ufc.br/handle/riufc/4299
Resumo: Testicular tumors are a rare condition associated with congenital adrenal hyperplasia (CAH), originated from intratesticular adrenal rest tumors, and they are rarely associated with malignant tumors. Their histological differentiation from Leydig-cell tumors is quite difficult, which would lead to inappropriate orchiectomies. Thus the objective of this report was to present this diagnostic dilemma. Methods: Reported the case of 16-yr-old boy with previous diagnosis of CAH with bilateral testicular enlargement who was recommended to be submitted to a bilateral orchiectomy. Results: Considering this findings, it was decided to treat conventionally with prednisone with significant reduction of testicular volume, and normalization of androgens levels. Conclusion: This case shows the importance of intratesticular adrenal rest tumors in the differential diagnosis of testicular tumors. Cautious approach during investigation and treatment are recommended to avoid inappropriate orchiectomies.
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spelling Tumores testiculares bilaterais por hiperplasia congênita de restos adrenaisBilateral testicular tumors caused by congenital adrenal rest hyperplasiaNeoplasias TesticularesCélulas Intersticiais do TestículoTesticular tumors are a rare condition associated with congenital adrenal hyperplasia (CAH), originated from intratesticular adrenal rest tumors, and they are rarely associated with malignant tumors. Their histological differentiation from Leydig-cell tumors is quite difficult, which would lead to inappropriate orchiectomies. Thus the objective of this report was to present this diagnostic dilemma. Methods: Reported the case of 16-yr-old boy with previous diagnosis of CAH with bilateral testicular enlargement who was recommended to be submitted to a bilateral orchiectomy. Results: Considering this findings, it was decided to treat conventionally with prednisone with significant reduction of testicular volume, and normalization of androgens levels. Conclusion: This case shows the importance of intratesticular adrenal rest tumors in the differential diagnosis of testicular tumors. Cautious approach during investigation and treatment are recommended to avoid inappropriate orchiectomies.Tumores testiculares são uma rara condição associada à hiperplasia adrenal congênita (HAC) que decorrem da hiperplasia de restos adrenais intratesticulares (HRA), raramente ocorrendo associados a neoplasias malignas. Sua diferenciação histológica com tumores de células de Leydig é muito difícil, podendo levar a orquiectomias desnecessárias. O objetivo deste relato foi apresentar esse dilema diagnóstico em um paciente com HAC e tumores testiculares bilaterais. Métodos: Relatou-se o caso de um paciente masculino, 16 anos, com diagnóstico de HAC desde os 3 anos de idade, que apresentava tumorações testiculares endurecidas, indolores e de crescimento lento, sendo encaminhado para orquiectomia bilateral. Resultados: Foi decidido por tratamento conservador com prednisona, havendo significativa diminuição do volume testicular e normalização dos níveis de andrógenos. Conclusão: Este caso demonstra a importância de sempre se considerar a hipótese de HRA intratesticulares no diagnóstico diferencial dos tumores testiculares. A investigação e a conduta devem ser conduzidas de maneira cautelosa para se evitar orquiectomias desnecessárias.Arquivos Brasileiros de Endocrinologia e Metabologia2013-01-23T11:43:32Z2013-01-23T11:43:32Z2009info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfSALES, A. P. A. M. et al. Tumores testiculares bilaterais por hiperplasia congênita de restos adrenais. Arq. Bras. Endocrinol. Metab., São Paulo, v.53, n.8, p.1052-1058, nov. 2009.0004-2730http://www.repositorio.ufc.br/handle/riufc/4299Sales, Ana Paula Abreu MartinsFernandes, Virginia OliveiraBarros, Antonio Iran SouzaQuidute, Ana Rosa Pintoporreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccess2021-03-29T13:23:01Zoai:repositorio.ufc.br:riufc/4299Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2024-09-11T18:53:08.975314Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false
dc.title.none.fl_str_mv Tumores testiculares bilaterais por hiperplasia congênita de restos adrenais
Bilateral testicular tumors caused by congenital adrenal rest hyperplasia
title Tumores testiculares bilaterais por hiperplasia congênita de restos adrenais
spellingShingle Tumores testiculares bilaterais por hiperplasia congênita de restos adrenais
Sales, Ana Paula Abreu Martins
Neoplasias Testiculares
Células Intersticiais do Testículo
title_short Tumores testiculares bilaterais por hiperplasia congênita de restos adrenais
title_full Tumores testiculares bilaterais por hiperplasia congênita de restos adrenais
title_fullStr Tumores testiculares bilaterais por hiperplasia congênita de restos adrenais
title_full_unstemmed Tumores testiculares bilaterais por hiperplasia congênita de restos adrenais
title_sort Tumores testiculares bilaterais por hiperplasia congênita de restos adrenais
author Sales, Ana Paula Abreu Martins
author_facet Sales, Ana Paula Abreu Martins
Fernandes, Virginia Oliveira
Barros, Antonio Iran Souza
Quidute, Ana Rosa Pinto
author_role author
author2 Fernandes, Virginia Oliveira
Barros, Antonio Iran Souza
Quidute, Ana Rosa Pinto
author2_role author
author
author
dc.contributor.author.fl_str_mv Sales, Ana Paula Abreu Martins
Fernandes, Virginia Oliveira
Barros, Antonio Iran Souza
Quidute, Ana Rosa Pinto
dc.subject.por.fl_str_mv Neoplasias Testiculares
Células Intersticiais do Testículo
topic Neoplasias Testiculares
Células Intersticiais do Testículo
description Testicular tumors are a rare condition associated with congenital adrenal hyperplasia (CAH), originated from intratesticular adrenal rest tumors, and they are rarely associated with malignant tumors. Their histological differentiation from Leydig-cell tumors is quite difficult, which would lead to inappropriate orchiectomies. Thus the objective of this report was to present this diagnostic dilemma. Methods: Reported the case of 16-yr-old boy with previous diagnosis of CAH with bilateral testicular enlargement who was recommended to be submitted to a bilateral orchiectomy. Results: Considering this findings, it was decided to treat conventionally with prednisone with significant reduction of testicular volume, and normalization of androgens levels. Conclusion: This case shows the importance of intratesticular adrenal rest tumors in the differential diagnosis of testicular tumors. Cautious approach during investigation and treatment are recommended to avoid inappropriate orchiectomies.
publishDate 2009
dc.date.none.fl_str_mv 2009
2013-01-23T11:43:32Z
2013-01-23T11:43:32Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv SALES, A. P. A. M. et al. Tumores testiculares bilaterais por hiperplasia congênita de restos adrenais. Arq. Bras. Endocrinol. Metab., São Paulo, v.53, n.8, p.1052-1058, nov. 2009.
0004-2730
http://www.repositorio.ufc.br/handle/riufc/4299
identifier_str_mv SALES, A. P. A. M. et al. Tumores testiculares bilaterais por hiperplasia congênita de restos adrenais. Arq. Bras. Endocrinol. Metab., São Paulo, v.53, n.8, p.1052-1058, nov. 2009.
0004-2730
url http://www.repositorio.ufc.br/handle/riufc/4299
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Arquivos Brasileiros de Endocrinologia e Metabologia
publisher.none.fl_str_mv Arquivos Brasileiros de Endocrinologia e Metabologia
dc.source.none.fl_str_mv reponame:Repositório Institucional da Universidade Federal do Ceará (UFC)
instname:Universidade Federal do Ceará (UFC)
instacron:UFC
instname_str Universidade Federal do Ceará (UFC)
instacron_str UFC
institution UFC
reponame_str Repositório Institucional da Universidade Federal do Ceará (UFC)
collection Repositório Institucional da Universidade Federal do Ceará (UFC)
repository.name.fl_str_mv Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)
repository.mail.fl_str_mv bu@ufc.br || repositorio@ufc.br
_version_ 1813028983874256896

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