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Title

Diagnostic Challenges of an Extremely Large Testicular Adrenal Rest Tumor - a Case Report

Year: 1400
COI: JR_INJPM-9-9_011
Language: EnglishView: 10
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Authors

Farrokh Seilanian-Toosi - MD., Associate Professor of Radiology, Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Hossein Rezaei-Delouei - MD., Associate Professor of Radiology, Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Mahsa Nahidi - MD., Assistant Professor of psychiatry, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Fatemeh Sadeghi Ardakani - MD., Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Behzad Aminzade - MD., Assistant Professor of Radiology, Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract:

Background: Congenital adrenal hyperplasia (CAH) is an autosomal recessive genetic disorder characterized by elevated levels of adrenocorticotropic hormone (ACTH) and overproduction of adrenal sex steroids. It is speculated that the correlation between CAH and testicular adrenal rest tumors (TARTs) is caused through ACTH-triggered progression of aberrant adrenal cells in testes. Case Presentation: Here, we present a case of a nine-year-old boy with bilateral testicular masses referred to Ghaem hospital (Mashhad, Iran), in the summer of ۲۰۱۹. Laboratory studies revealed elevated ACTH and ۱۷-hydroxyprogesterone confirming the diagnosis of CAH. Radiologic assessment showed bilateral multiple heterogeneous masses that had replaced the normal testicular tissue. Conclusions: Due to the rare nature of TARTs and their manifestations, many of these patients, like ours don’t get prompt detection. It seems crucial for urologists and radiologists to be familiar with this condition as a benign differential diagnosis of bilateral testicular tumors

Keywords:

Congenital Adrenal Hyperplasia , Sex steroid hormones , testicular adrenal rest tumors

Paper COI Code

This Paper COI Code is JR_INJPM-9-9_011. Also You can use the following address to link to this article. This link is permanent and is used as an article registration confirmation in the Civilica reference:

https://civilica.com/doc/1271446/

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Seilanian-Toosi, Farrokh and Rezaei-Delouei, Hossein and Nahidi, Mahsa and Sadeghi Ardakani, Fatemeh and Aminzade, Behzad,1400,Diagnostic Challenges of an Extremely Large Testicular Adrenal Rest Tumor - a Case Report,https://civilica.com/doc/1271446

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