Zyste der Nebenniere Morphologie - Diagnostik - Therapie

Dieckmann, K.-P.; Loy, V.; Krämer, W.; Jonas, Daniel E

doi:10.1055/s-2008-1061697

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1997

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“…In the cases of dermoid cysts, epider moid cysts, and granulomatous orchitis, this concept has been challenged on the basis of the clinical benign nature of the conditions and the absence of testicular intraepithe lial neoplasia, so-called carcinoma in situ, the precursor of all testicular germ cell tumors [2][3][4][5]12]. Weissbach [13] recently suggested tumor enucleation even in germ cell tumors in cases of a single testis, small tumor size (<2 cm) and dislike of androgen supplementation.…”

Section: Discussionmentioning

confidence: 99%

Leydig Cell Tumor–Comparison of Results of Radical and Testis-Sparing Surgery in a Single Center

Wegner

Dieckmann²,

Herbst³

et al. 1997

Urol Int

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Between January 1981 and December 1995, 15 patients were treated for Leydig cell tumor at our institution – 12 by radical orchiectomy, 3 by tumor enu-cleation. All patients were contacted to assess the long-term outcome depending on the treatment initially chosen. Follow-up ranged from 8 to 161 months (mean 56). In no case was progressive disease documented, in 1 case local recurrence was witnessed 4 months after tumor enucleation despite negative resection margins. We conclude that a small Leydig cell tumor can safely be managed by local enucleation alone.

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