Intratubular large cell hyalinizing Sertoli cell tumor of the testis presenting with prepubertal gynecomastia: a case report


Tuhan H., ABACI A., SARSIK KUMBARACI B., Ozturk T., OLGUNER M., Catli G., ...More

ACTA CLINICA BELGICA, vol.72, no.4, pp.254-258, 2017 (SCI-Expanded, Scopus)

  • Publication Type: Article / Article
  • Volume: 72 Issue: 4
  • Publication Date: 2017
  • Doi Number: 10.1080/17843286.2016.1215869
  • Journal Name: ACTA CLINICA BELGICA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.254-258
  • Keywords: Sertoli cell tumor, Testicular microlithiasis, Prepubertal gynecomastia
  • Dokuz Eylül University Affiliated: Yes

Abstract

Intratubular large cell hyalinizing Sertoli cell neoplasia (ITLCHSCN) resulting from Sertoli cells of the testis are mainly reported in young adults and these are rarely seen in childhood. The most common presenting symptoms of the patients diagnosed with ITLCHSCN are gynecomastia, enlargement in the testicles, increase in growth velocity, and advanced bone age. Symptoms are basically resulting from increased aromatase enzyme activity in Sertoli cells. In this case report, an eight-and-a-half-year-old case presenting with complaint of bilateral gynecomastia since two years, showing no endocrine abnormality in laboratory during two years of follow-up, determined to have progression in bilateral gynecomastia, increase in testicular volumes, advanced bone age, increase in growth velocity in the clinical follow-up, and diagnosed with ITLCHSCN after testis biopsy was presented.