Abstract：
:We report a case of bilateral testicular masses in a 25-year-old man with von Hippel-Lindau disease presenting with cushingoid symptoms. His medical history was significant for bilateral adrenalectomies secondary to pheochromocytomas, and he began steroid therapy at that time. After exhaustive endocrinologic, radiographic, and physical examinations, the testicular masses were postulated to be active adrenal rest tissue. Bilateral testicular venous sampling found elevated glucocorticoids that were responsive to dexamethasone suppression, which confirmed the testicular masses as testicular adrenal rests without the need for surgical intervention. Successful conservative management consisted of appropriate steroid manipulation and radiographic evaluation and resulted in the resolution of presenting symptoms, a decrease in size of the bilateral testicular masses, and testicular conservation in this young man.
journal_name
Urologyjournal_title
Urologyauthors
Weeks DC,Walther MM,Stratakis CA,Hwang JJ,Linehan WM,Phillips JLdoi
10.1016/j.urology.2004.01.023subject
Has Abstractpub_date
2004-05-01 00:00:00pages
981-2issue
5eissn
0090-4295issn
1527-9995pii
S0090429504001219journal_volume
63pub_type
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