ABSTRACT
We describe a 16-year-old boy with Leydig cell tumor who initially presented bilateral gynecomastia with increased estradiol concentrations, decreased testosterone concentrations and normal gonadotropin levels. Testicular ultrasonography showed a tumor in the left testicle, and orchidectomy was performed. Histopathological analysis revealed a Leydig cell tumor. Two months after surgery, the gynecomastia diminished gradually and estrogen levels returned to normal. No recurrences have occurred during a 2-year follow-up.
Subject(s)
Gynecomastia/etiology , Leydig Cell Tumor/complications , Testicular Neoplasms/complications , Adolescent , Humans , MaleABSTRACT
OBJECTIVE: To determine the incidence of metastatic cancer to the neck from asymptomatic primary tumors in thorax, abdomen or pelvis. DESIGN: Two years term (January 1992 to December 1993) retrospective study. PATIENTS AND METHOD: Presentation of 57 patients with a neck mass which through puntion-aspiration (FNB), cervicotomy and biopsy confirmed any type of carcinoma. RESULTS: In 39 cases (68.42%) a primary tumor either in the pharynx or mouth were affirmative of growth; in other 10 (17.54%) the site of the primary remainded unknown; and 8 cases (14.04%) the primary tumor even asymptomatic could be localized inside the thorax or abdomen (3 pulmonary, 2 kidney, 1 stomach, 1 prostate and 1 esophagus). In other 2 occurrences, a cervicofacial association existed (1 case a synchronic growth of the hypopharynx-prostate, the other one cavum pharyngis and lung). COMMENTS: Cases diagnosed as asymptomatic thoracic or abdominal tumors are commented and its bibliography reviewed. The same as diagnostic strategy in hidden primaries aiming to the probability of ascertain the sitting in each diagnostic stage.
Subject(s)
Abdominal Neoplasms/diagnosis , Carcinoma/diagnosis , Lymph Nodes , Pharyngeal Neoplasms/diagnosis , Thoracic Neoplasms/diagnosis , Abdomen/pathology , Abdominal Neoplasms/pathology , Biopsy, Needle , Carcinoma/pathology , Humans , Neoplasms, Multiple Primary/diagnosis , Pharyngeal Neoplasms/pathology , Pharynx/pathology , Retrospective Studies , Thoracic Neoplasms/pathology , Thorax/pathologyABSTRACT
A 56-year-old man with a solitary neurofibroma involving the main trunk of the intraparotid facial nerve is presented. Because its small frequency it's an unexpected tumour of which the definitive diagnosis is only established after its removal. Literature is revised.
Subject(s)
Facial Nerve/pathology , Neurofibroma/pathology , Parotid Gland/pathology , Parotid Neoplasms/pathology , Facial Nerve/surgery , Humans , Male , Middle Aged , Neoplasm Invasiveness , Neurofibroma/surgery , Parotid Gland/surgery , Parotid Neoplasms/surgeryABSTRACT
A 63-year-old patient with metastasic tumour of the larynx (epiglottis) and neck from an asymptomatic stomachal adenocarcinoma is presented.
