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Title: 男性不妊を契機に診断された精巣Leydig細胞腫の1例
Other Titles: Testicular Leydig Cell Tumor Presenting as Male Infertility : A Case Report
Authors: 白石, 裕介 researcher_resolver_name
西山, 博之 researcher_resolver_name
大久保, 和俊 researcher_resolver_name
井口, 亮 researcher_resolver_name
井上, 貴博 researcher_resolver_name
渡部, 淳 researcher_resolver_name
神波, 大己 researcher_resolver_name
吉村, 耕治 researcher_resolver_name
兼松, 明弘 researcher_resolver_name
中山, 貴弘 researcher_resolver_name
畑山, 博 researcher_resolver_name
小川, 修 researcher_resolver_name
Author's alias: Shiraishi, Yusuke
Nishiyama, Hiroyuki
Okubo, Kazutoshi
Iguchi, Ryo
Inoue, Takahiro
Watanabe, Jun
Kamba, Tomomi
Yoshimura, Koji
Kanematsu, Akihiro
Nakayama, Takahiro
Hatayama, Hiroshi
Ogawa, Osamu
Keywords: Testicular tumor
Leydig cell tumor
Leydig cell hyperplasia
Male infertility
Issue Date: Dec-2009
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 55
Issue: 12
Start page: 777
End page: 781
Abstract: A Leydig cell tumor is a rare disease entity occurring in the testis. Occasionally it is considered to berelated to male infertility. We report a case study of a Leydig cell tumor in a single testis presenting as maleinfertility. A 38-year-old male was referred to our hospital because of a tumor in his right testis. He hadundergone left orchiectomy at one year old because of a testicular tumor. During an examination related tothe infertility, ultrasound revealed a 1 cm tumor. Tumor markers were all within normal ranges.Hormonal examination showed that luteinizing hormone (LH) 30.3 mIU/ml (1.5-12.4) and folliclestimulating hormone (FSH) 11.9 mIU/ml (1.7-8.6) were higher than normal limits, but total testosterone(total T) and estradiol (E2) were within normal ranges. Tumor enucleation was first performed, and thentesticular sperm extraction (TESE) was carried out from a macroscopically normal site of the testis.Histopathological diagnosis was a benign Leydig cell tumor surrounded by Leydig cell hyperplasia. For 12months after the operation there has been no recurrence. Although high LH and FSH persisted, total T andE2 were within normal ranges.
Rights: 許諾条件により本文は2011-01-01に公開
URI: http://hdl.handle.net/2433/89683
PubMed ID: 20048565
Appears in Collections:Vol.55 No.12

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