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Scrotal Ultrasonography Revisited for Non-Palpable Testicular Tumors in the Prepubertal Age: Case Report

Vural KESİK¹, Ayhan ABACI², Ediz YEŞİLKAYA², Bülent KURT³, Sebahattin VURUCU⁴, Turan TUNÇ<sup>4

1</sup>Gülhane Military Medical Academy, Department of Pediatric Oncology, ANKARA
²Gülhane Military Medical Academy, Department of Pediatric Endocrinology, ANKARA
³Gülhane Military Medical Academy, Department of Pathology, ANKARA
⁴Gülhane Military Medical Academy, Department of Pediatrics, ANKARA

Keywords: Precocious puberty, Leydig cell tumor, Ultrasonography

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A 4-year-6 month old boy was seen for sexual precocity manifested by growth spurt, frequent penile erection, penile enlargement and pubic hair development. Scrotal ultrasonography -performed even though the testes were prepubertal, symmetric and bilaterally palpable- disclosed a tumor in the left testis. Left orchiectomy was performed and Leydig cell tumor was detected. Herein, we emphasize the role of scrotal ultrasonography in cases with gonadotropinindependent sexual precocity whereby the presence of non-palpable tumors should be excluded despite symmetrical testicles in the physical examination.

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