International Journal of Hematology and Oncology 2024, Vol 34, Num 1 Page(s): 048-052
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 TUNÇ4

1Gülhane 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
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.