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Tumeur testiculaire inhabituelle: Adénome corticosurrénalien

Unusual tumor of the testis: Adrenocortical adenoma

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Les auteurs rapportent un cas d’adénome corticosurrénalien intratesticulaire de 3 cm de taille découvert chez un patient âgé de 35 ans après orchidectomie droite.

L’examen clinique a montré un nodule du pôle inférieur du testicule, dur et non douloureux. L’échographie confirmait qu’il existait une formation solide, discrètement hypoéchogène, très vascularisée, développée aux dépens de la glande testiculaire. Le scanner abdominal pratiqué montre la présence de surrénales en position habituelle et d’aspect normal.

Le diagnostic préopératoire de tumeur bénigne intratesticulaire est difficile et pourrait s’appuyer sur l’examen histologique extemporané peropératoire afin d’éviter une orchidectomie inutile.

Abstract

The authors report a case of intratesticular adrenocortical adenoma, 3 cm in diameter diagnosed in a 35 year-old man after right orchidectomy. He denied any past medical problems, surgery or prescription drugs.

Physical examination revealed a hard, painless nodule of the lower pole of the testis. He presented no evidence of gynaecomastia or endocrine dysfunction. Serum tumour markers (HCG, AFP, LDH) were within normal limits. Ultrasound revealed a well-circumscribed, complex intraparenchymal mass with a largely hypoechoic appearance. Abdominal CT scan showed the presence of the adrenal glands in the normal position with a normal appearance

The preoperative diagnosis of benign testicular tumour is difficult. Intraoperative frozen section histological examination can be performed to avoid unnecessary orchidectomy.

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Author information

Correspondence to Sabeur Ketata or Hafedh Ketata or Ahmad Sahnoun or Hamadi Fakhfakh or Ali Bahloul or Mohamed Nabil Mhiri.

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Ketata, S., Ketata, H., Sahnoun, A. et al. Tumeur testiculaire inhabituelle: Adénome corticosurrénalien. Androl. 17, 280–282 (2007) doi:10.1007/BF03040738

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Mots clés

  • adénome
  • cortex surrénalien
  • testicule

Key words

  • adenoma
  • adrenal cortex
  • testis