Synonyms
Interstitial cell tumor
Definition
Leydig cell tumors (LCTs) of the testis are composed of medium to large polygonal cells with abundant eosinophilic cytoplasm and resembling non-neoplastic Leydig cells of the testis.
Clinical Features
LCTs account for about 3% of testicular neoplasm (Kim et al. 1985). About 20% of cases are found at 5–10 years of age and are responsible for 10% of all cases of early pseudo-puberty in children, with the presentation of these precocious symptoms more frequently observed in the first 5 years. The majority of the cases (80%) has the peak of incidence in middle adulthood (30–60 years).
In adult male, LCTs may be seen with asymptomatic testicular mass, but if the tumor secretes estrogens, it can cause feminization, gynecomastia, erectile dysfunction, infertility, and loss of libido. Rarely LCTs occur with Cushing syndrome. Testicular Leydig cell tumors can be detected echographically; however incidental identification of these lesions is possible....
References and Further Reading
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Cheville, J. C., Sebo, T. J., Lager, D. J., Bostwick, D. G., & Farrow, G. M. (1998). Leydig cell tumor of the testis: A clinicopathologic, DNA content, and MIB-1 comparison of nonmetastasizing and metastasizing tumors. American Journal of Surgical Pathology, 22(11), 1361–1367.
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Kim, I., Young, R. H., & Scully, R. E. (1985). Leydig cell tumors of the testis. A clinicopathological analysis of 40 cases and review of the literature. American Journal of Surgical Pathology, 9(3), 177–192.
Liu, G., Duranteau, L., Carel, J. C., Monroe, J., Doyle, D. A., & Shenker, A. (1999). Leydig cell tumors caused by an activating mutation of the gene encoding the luteinizing hormone receptor. New England Journal of Medicine, 341(23), 1731–1736.
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Colecchia, M., Bertolotti, A. (2022). Leydig Cell Tumor. In: La Rosa, S., Uccella, S. (eds) Endocrine Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-030-62345-6_5123
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DOI: https://doi.org/10.1007/978-3-030-62345-6_5123
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