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Leydig cell tumour

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381: 48: 80: 341: 361: 251: 247:. However, hormonal disturbances, in Leydig tumours, is present in only 2/3 of cases. Testicular Leydig cell tumours can be detected sonographically, ultrasound examinations may be ordered in the event of a palpable scrotal lump, however incidental identification of these lesions is also possible. 313:
In males, a radical inguinal orchiectomy is typically performed. However, testes-sparing surgery can be used to maintain fertility in children and young adults. This approach involves an inguinal or scrotal incision and ultrasound guidance if the tumour is non-palpable. This can be done because the
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The usual treatment is surgery. The surgery for females usually is a fertility-sparing unilateral salpingo-oophorectomy. For malignant tumours, the surgery may be radical and usually is followed by adjuvant chemotherapy, sometimes by radiation therapy. In all cases, initial treatment is followed
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Ulbright TM, Srigley JR, Hatzianastassiou DK, Young RH (November 2002). "Leydig cell tumors of the testis with unusual features: adipose differentiation, calcification with ossification, and spindle-shaped tumor cells".
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are classically found in these tumours and help confirm the diagnosis, although they are seen in less than half of all Leydig cell tumours. Immunohistochemical markers of Leydig cell tumours include
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Basciani, Sabrina; Brama, Marina; Mariani, Stefania; De Luca, Gabriele; Arizzi, Mario; Vesci, Loredana; Pisano, Claudio; Dolci, Susanna; Spera, Giovanni; Gnessi, Lucio (2005-03-01).
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Typical gross pathology of a Leydig cell tumor (in this case of the ovary): A well circumscribed, solid homogeneous mass with golden brown to brownish green cut surface.
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Biegel, L. B.; Liu, R. C.; Hurtt, M. E.; Cook, J. C. (1995). "Effects of ammonium perfluorooctanoate on Leydig cell function: in vitro, in vivo, and ex vivo studies".
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Sachdeva P, Arora R, Dubey C, Sukhija A, Daga M, Singh DK (April 2008). "Sertoli-Leydig cell tumor: a rare ovarian neoplasm. Case report and review of literature".
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The majority of Leydig cell tumors are found in males, usually at 5–10 years of age or in middle adulthood (30–60 years). Children typically present with
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In men, testicular swelling is the most common presenting feature. Other symptoms depend on age and the type of tumour. If it is secreting
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Ferretti L, Sargos P, Gross-Goupil M, Izard V, Wallerand H, Huyghe E, Rigot JM, Durand X, Benoit G, Ferriere JM, Droupy S (2014).
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tumour is typically unifocal, not associated with precancerous lesions, and is unlikely to recur.
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secreted by the tumour, one-third of female patients present with a recent history of progressive
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it can cause feminisation in young boys. In adults, this causes a number of problems including
1588: 1578: 1289: 1050: 1003: 974: 896: 865: 818: 771: 694: 637: 559: 478: 440: 113: 64: 188:, temporal hair recession, and an increase in musculature. Serum testosterone level is high. 1120: 1058: 884: 857: 810: 763: 712: 684: 629: 593: 551: 470: 428: 1719: 1696: 1668: 1638: 1629: 1440: 1419: 1373: 1320: 1259: 1247: 1218: 1205: 798: 733: 528: 275: 155: 1541: 1015: 751: 507: 239:
Presence of an ovarian tumour plus hormonal disturbances suggests a Leydig cell tumour,
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The usual chemotherapy regimen has limited efficacy in tumours of this type, although
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by surveillance. Because in many cases Leydig cell tumour does not produce elevated
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Lenhard M, Kuemper C, Ditsch N, Diebold J, Stieber P, Friese K, Burges A (2007).
578: 998: 861: 159: 117: 120:. While the tumour can occur at any age, it occurs most often in young adults. 1330: 1312: 979: 474: 367: 347: 283: 255: 167: 329:. For malignant tumours with undifferentiated histology, prognosis is poor. 310:, the focus of surveillance is on repeated physical examination and imaging. 713:"Leydig Cell Tumors Treatment & Management: Medical Care, Surgical Care" 326: 318: 271: 181: 869: 822: 775: 698: 641: 555: 482: 767: 563: 1701: 1691: 1646: 1574: 1510: 1411: 1238: 299: 200: 192: 69: 928: 1190: 1180: 885:"Testis & epididymis - Sex cord-stromal tumors - Leydig cell tumor" 597: 429:"Testis & epididymis - Sex cord-stromal tumors - Leydig cell tumor" 287: 244: 814: 508:"Leydig Cell Tumors: Practice Essentials, Background, Pathophysiology" 322: 321:
is generally good as the tumour tends to grow slowly and usually is
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has shown some promise. There is no current role for radiotherapy.
1046: 249: 1545: 1019: 274:, as part of a pathology report made during or after surgery. 579:"Ultrasound of a prepubertal Leydig cell tumour of the testis" 907:
Topic Completed: 4 March 2021. Minor changes: 12 April 2021.
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Topic Completed: 4 March 2021. Minor changes: 12 April 2021.
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Histopathology of a Leydig cell tumor, high magnification,
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Reddan, Tristan; Powell, Jennifer; Long, Gillian (2017).
502: 500: 846:"An in-depth look at Leydig cell tumor of the testis" 918: 1763: 1718: 1667: 1637: 1628: 1596: 1587: 1496: 1458: 1433: 1410: 1372: 1339: 1311: 1302: 1280: 1258: 1204: 1156: 1091: 1075: 1066: 1057: 989: 922: 63: 37: 32: 195:the tumour is usually asymptomatic, but can cause 215:Animal studies a suggest possible link with C8 (C 127:is a combination of a Leydig cell tumour and a 1733:High-grade prostatic intraepithelial neoplasia 883:Zhengshan Chen, M.D., Ph.D., Manju Aron, M.D. 745: 743: 427:Zhengshan Chen, M.D., Ph.D., Manju Aron, M.D. 1557: 1031: 199:in pre-pubertal boys. If the tumour secretes 8: 901:: CS1 maint: multiple names: authors list ( 445:: CS1 maint: multiple names: authors list ( 1634: 1593: 1564: 1550: 1542: 1308: 1088: 1072: 1063: 1038: 1024: 1016: 919: 78: 46: 29: 688: 844:Al-Agha OM, Axiotis CA (February 2007). 1478:Clear-cell adenocarcinoma of the vagina 419: 336: 1841:Endocrine-related cutaneous conditions 894: 729: 718: 524: 513: 438: 1468:Squamous-cell carcinoma of the vagina 1359:Endometrial intraepithelial neoplasia 98:(testicular) interstitial cell tumour 7: 1196:Sex cord tumour with annular tubules 102:(testicular) interstitial cell tumor 1745:List of people with prostate cancer 1114:Papillary serous cystadenocarcinoma 544:Toxicology and Applied Pharmacology 270:A conclusive diagnosis is made via 41:Testicular interstitial cell tumour 1382:Cervical intraepithelial neoplasia 1354:Uterine papillary serous carcinoma 104:(US spelling), is a member of the 25: 1483:Vaginal intraepithelial neoplasia 1425:Gestational trophoblastic disease 158:. Masculinization is preceded by 1526:Vulvar intraepithelial neoplasia 634:10.1097/00000478-200211000-00004 379: 359: 339: 1: 1402:Villoglandular adenocarcinoma 690:10.1158/0008-5472.can-04-2181 1778:Extramammary Paget's disease 1521:Extramammary Paget's disease 1364:Uterine clear-cell carcinoma 1139:Ovarian clear-cell carcinoma 398:Androgen-dependent syndromes 1755:Transitional-cell carcinoma 1657:Germ cell neoplasia in situ 862:10.5858/2007-131-311-AILALC 346:Intermediate magnification 176:. Additional signs include 59:, showing typical features. 1857: 1608:Sertoli–Leydig cell tumour 1321:Uterine fibroids/leiomyoma 1176:Sertoli–Leydig cell tumour 1099:Ovarian serous cystadenoma 408:Sertoli–Leydig cell tumour 125:Sertoli–Leydig cell tumour 1800:Hirsuties coronae glandis 1531:Bartholin gland carcinoma 1473:Botryoid rhabdomyosarcoma 1129: 475:10.1080/09513590801953465 370:of a Leydig cell tumour. 350:of a Leydig cell tumour. 54: 45: 1795:Erythroplasia of Queyrat 1158:Sex cord–gonadal stromal 1077:Glandular and epithelial 106:sex cord-stromal tumour 18:Interstitial cell tumor 1826:Male genital neoplasia 1682:Endodermal sinus tumor 1229:Endodermal sinus tumor 850:Arch. Pathol. Lab. Med 728:Cite journal requires 556:10.1006/taap.1995.1164 523:Cite journal requires 267: 229:perfluorooctanoic acid 1516:Papillary hidradenoma 1446:Mixed MĂĽllerian tumor 1397:Glassy-cell carcinoma 1186:Granulosa cell tumour 768:10.1515/CCLM.2007.120 253: 241:granulosa cell tumour 1750:Small-cell carcinoma 1387:Clear-cell carcinoma 1104:Mucinous cystadenoma 756:Clin. Chem. Lab. Med 1836:Endocrine neoplasia 1677:Embryonal carcinoma 1652:Spermatocytic tumor 1613:Sertoli cell tumour 1224:Embryonal carcinoma 1171:Sertoli cell tumour 1082:surface epithelial- 622:Am. J. Surg. Pathol 463:Gynecol. Endocrinol 403:Sertoli cell tumour 366:High magnification 184:, voice deepening, 129:Sertoli cell tumour 1790:Bowenoid papulosis 1618:Leydig cell tumour 1349:Endometrioid tumor 1166:Leydig cell tumour 1134:Endometrioid tumor 1109:Cystadenocarcinoma 990:External resources 598:10.1002/sono.12111 268: 260:Leydig cell tumour 254:Low magnification 197:precocious puberty 145:precocious puberty 114:testicular cancers 90:Leydig cell tumour 33:Leydig cell tumour 1808: 1807: 1714: 1713: 1710: 1709: 1579:urogenital system 1539: 1538: 1454: 1453: 1298: 1297: 1290:Adenomatoid tumor 1276: 1275: 1152: 1151: 1051:urogenital system 1013: 1012: 889:PathologyOutlines 815:10.1111/bju.12549 433:PathologyOutlines 333:Additional images 116:. It arises from 94:Leydig cell tumor 87: 86: 27:Medical condition 16:(Redirected from 1848: 1635: 1594: 1566: 1559: 1552: 1543: 1309: 1219:Nongerminomatous 1121:Krukenberg tumor 1089: 1073: 1064: 1040: 1033: 1026: 1017: 920: 908: 906: 900: 892: 880: 874: 873: 841: 835: 834: 794: 788: 787: 747: 738: 737: 731: 726: 724: 716: 709: 703: 702: 692: 683:(5): 1897–1903. 660: 654: 653: 616: 610: 609: 583: 574: 568: 567: 539: 533: 532: 526: 521: 519: 511: 504: 495: 494: 458: 452: 450: 444: 436: 424: 383: 363: 343: 83: 82: 50: 30: 21: 1856: 1855: 1851: 1850: 1849: 1847: 1846: 1845: 1811: 1810: 1809: 1804: 1785:Bowen's disease 1759: 1706: 1697:Choriocarcinoma 1663: 1624: 1600:gonadal stromal 1599: 1583: 1570: 1540: 1535: 1492: 1450: 1441:Uterine sarcoma 1429: 1420:Choriocarcinoma 1406: 1368: 1335: 1294: 1272: 1268:Meigs' syndrome 1254: 1248:Choriocarcinoma 1200: 1148: 1125: 1083: 1080: 1053: 1044: 1014: 1009: 1008: 985: 984: 931: 917: 912: 911: 893: 882: 881: 877: 843: 842: 838: 796: 795: 791: 749: 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730:|journal= 704: 655: 611: 592:(3): 125–128. 569: 534: 525:|journal= 496: 453: 418: 417: 415: 412: 411: 410: 405: 400: 393: 390: 389: 388: 385: 378: 376: 365: 358: 356: 345: 338: 334: 331: 308:tumour markers 295: 292: 236: 233: 224: 220: 216: 212: 209: 173:defeminization 164:oligomenorrhea 150:Due to excess 140: 137: 85: 84: 67: 61: 60: 52: 51: 43: 42: 39: 35: 34: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 1853: 1842: 1839: 1837: 1834: 1832: 1829: 1827: 1824: 1822: 1819: 1818: 1816: 1801: 1798: 1796: 1793: 1791: 1788: 1786: 1783: 1779: 1776: 1775: 1774: 1771: 1770: 1768: 1766: 1762: 1756: 1753: 1751: 1748: 1746: 1743: 1739: 1736: 1735: 1734: 1731: 1729: 1726: 1725: 1723: 1721: 1717: 1703: 1700: 1698: 1695: 1693: 1690: 1688: 1685: 1683: 1680: 1678: 1675: 1674: 1672: 1670: 1666: 1658: 1655: 1653: 1650: 1649: 1648: 1645: 1644: 1642: 1640: 1636: 1633: 1631: 1627: 1619: 1616: 1614: 1611: 1610: 1609: 1606: 1605: 1603: 1601: 1595: 1592: 1590: 1586: 1580: 1576: 1573: 1572: 1567: 1562: 1560: 1555: 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1087: 1085: 1084:stromal tumor 1078: 1074: 1071: 1069: 1065: 1062: 1060: 1056: 1052: 1048: 1041: 1036: 1034: 1029: 1027: 1022: 1021: 1018: 1005: 1001: 1000: 996: 995: 992: 988: 981: 977: 976: 972: 970: 966: 965: 961: 958: 957: 953: 951: 947: 943: 942: 938: 934: 933: 930: 925: 921: 914: 904: 898: 890: 886: 879: 876: 871: 867: 863: 859: 855: 851: 847: 840: 837: 832: 828: 824: 820: 816: 812: 808: 804: 800: 793: 790: 785: 781: 777: 773: 769: 765: 762:(5): 657–61. 761: 757: 753: 746: 744: 740: 735: 722: 715:. 2016-10-27. 714: 708: 705: 700: 696: 691: 686: 682: 678: 674: 672: 668: 659: 656: 651: 647: 643: 639: 635: 631: 627: 623: 615: 612: 607: 603: 599: 595: 591: 587: 580: 573: 570: 565: 561: 557: 553: 549: 545: 538: 535: 530: 517: 510:. 2016-10-27. 509: 503: 501: 497: 492: 488: 484: 480: 476: 472: 468: 464: 457: 454: 448: 442: 434: 430: 423: 420: 413: 409: 406: 404: 401: 399: 396: 395: 391: 382: 377: 373: 372:H&E stain 369: 362: 357: 353: 352:H&E stain 349: 342: 337: 332: 330: 328: 324: 320: 315: 311: 309: 303: 301: 293: 291: 289: 285: 281: 280:inhibin-alpha 277: 273: 265: 264:H&E stain 261: 257: 252: 248: 246: 242: 234: 232: 230: 210: 208: 206: 205:gynaecomastia 202: 198: 194: 189: 187: 186:clitoromegaly 183: 179: 175: 174: 169: 165: 161: 157: 153: 148: 146: 138: 136: 134: 133:Sertoli cells 130: 126: 121: 119: 115: 111: 107: 103: 99: 95: 91: 81: 75: 74:endocrinology 71: 68: 66: 62: 58: 57:H&E stain 53: 49: 44: 40: 36: 31: 19: 1831:Rare cancers 1617: 1577:of the male 1214:Dysgerminoma 1165: 997: 973: 962: 954: 935: 888: 878: 856:(2): 311–7. 853: 849: 839: 809:(6): 860–4. 806: 802: 792: 759: 755: 721:cite journal 707: 680: 676: 670: 666: 658: 625: 621: 614: 589: 585: 572: 550:(1): 18–25. 547: 543: 537: 516:cite journal 469:(4): 230–4. 466: 462: 456: 432: 422: 316: 312: 304: 297: 269: 259: 238: 214: 190: 171: 152:testosterone 149: 142: 139:Presentation 122: 118:Leydig cells 101: 97: 93: 89: 88: 1341:Endometrium 999:MedlinePlus 160:anovulation 38:Other names 1815:Categories 1331:Adenomyoma 1313:Myometrium 975:DiseasesDB 586:Sonography 414:References 368:micrograph 348:micrograph 325:: 10% are 284:calretinin 256:micrograph 201:oestrogens 168:amenorrhea 1773:Carcinoma 1630:Germ cell 1598:Sex cord– 1589:Testicles 1206:Germ cell 673:Activity" 327:malignant 319:prognosis 294:Treatment 272:histology 235:Diagnosis 193:androgens 182:hirsutism 108:group of 65:Specialty 1720:Prostate 1702:Embryoma 1692:Teratoma 1647:Seminoma 1511:Melanoma 1412:Placenta 1239:Teratoma 897:cite web 870:17284120 831:24924124 823:24180380 784:12883618 776:17484630 699:15753388 667:In vitro 650:25993642 642:12409718 606:79812660 491:42384623 483:18382911 441:cite web 392:See also 300:imatinib 70:Oncology 1434:General 1260:Fibroma 1191:Luteoma 1181:Thecoma 1068:Ovaries 969:D007984 803:BJU Int 671:In vivo 564:7676454 288:melan-A 245:thecoma 110:ovarian 92:, also 1575:Tumors 1460:Vagina 1374:Cervix 1304:Uterus 1059:Adnexa 1047:Tumors 1004:000409 959:: 8631 868:  829:  821:  782:  774:  697:  648:  640:  604:  562:  489:  481:  323:benign 286:, and 76:  1765:Penis 1738:HGPIN 1498:Vulva 956:ICD-O 950:256.1 946:183.0 827:S2CID 780:S2CID 646:S2CID 602:S2CID 582:(PDF) 487:S2CID 258:of a 211:Cause 131:from 1092:CMS: 980:7445 964:MeSH 941:9-CM 903:link 866:PMID 819:PMID 772:PMID 734:help 695:PMID 669:and 638:PMID 560:PMID 529:help 479:PMID 447:link 317:The 231:). 180:and 178:acne 170:and 112:and 100:and 1506:SCC 1392:SCC 937:ICD 858:doi 854:131 811:doi 807:114 764:doi 685:doi 630:doi 594:doi 552:doi 548:134 471:doi 243:or 1817:: 1669:NG 1002:: 978:: 967:: 948:, 944:: 899:}} 895:{{ 887:. 864:. 852:. 848:. 825:. 817:. 805:. 801:. 778:. 770:. 760:45 758:. 754:. 742:^ 725:: 723:}} 719:{{ 693:. 681:65 679:. 675:. 644:. 636:. 626:26 624:. 600:. 588:. 584:. 558:. 546:. 520:: 518:}} 514:{{ 499:^ 485:. 477:. 467:24 465:. 443:}} 439:{{ 431:. 290:. 282:, 262:. 227:, 221:15 219:HF 166:, 162:, 147:. 135:. 123:A 72:, 1639:G 1565:e 1558:t 1551:v 1241:/ 1079:/ 1039:e 1032:t 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Index

Interstitial cell tumor

H&E stain
Specialty
Oncology
endocrinology
Edit this on Wikidata
sex cord-stromal tumour
ovarian
testicular cancers
Leydig cells
Sertoli–Leydig cell tumour
Sertoli cell tumour
Sertoli cells
precocious puberty
testosterone
masculinization
anovulation
oligomenorrhea
amenorrhea
defeminization
acne
hirsutism
clitoromegaly
androgens
precocious puberty
oestrogens
gynaecomastia
perfluorooctanoic acid
granulosa cell tumour

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