Testicular capillary hemangioma and Leydig cell hyperplasia in an elderly patient: A case report

Abstract
Lobulated capillary hemangioma with Leydig cell hyperplasia in the same nodule is exceptional. We report a case of a 72 year old male presenting with mammary asymmetry. Thirty seven years previously he had had a left sided testicular seminoma. Testicular ultrasonography of the right testicle revealed a 0.6 cm hypoecogenic nodule, which was solid with central and peripheral vascular flux. Beta-HCG, LH, estradiol and total testosterone levels were normal. Enucleation of the lesion was performed and an intraoperatory biopsy confirmed a benign lesion. The definitive diagnosis was lobulated capillary hemangioma with Leydig cell hyperplasia. To our knowledge, this is the first case reported in an adult.
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Keywords
Leydig cell hyperplasia, Testicular hemangioma, Testicular tumour, Chorionic gonadotropin beta subunit, Estradiol, Luteinizing hormone, Testosterone, Aged, Article, Capillary hemangioma, Case report, Cell hyperplasia, Echography, Enucleation, Human, Human tissue, Leydig cell, Male, Seminoma, Testis biopsy, Testis tumor
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