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A case of testicular adrenal rest tumor in a male child with congenital adrenal hyperplasia

Korean Journal of Pediatrics 2008;51(9):1018-1022.
Published online September 15, 2008.
A case of testicular adrenal rest tumor in a male child with congenital adrenal hyperplasia
Joo Hwa Kim, Kyong Ah Yun, Choong Ho Shin, Sei Won Yang
Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
선천 부신 과다형성 환자에서 발생한 고환 부신 잔류 종양 1례
김주화, 윤경아, 신충호, 양세원
서울대학교 의과대학 소아과학교실
Correspondence: 
Choong Ho Shin, Email: chshinpd@snu.ac.kr
Abstract
Testicular adrenal rest tumors are a well-known complication in male patients with congenital adrenal hyperplasia. Corticosteroid suppressive therapy usually results in the regression of these tumors. We describe a patient with 21-hydroxylase deficiency who developed bilateral testicular masses. Despite steroid suppressive therapy, the tumors did not regress and hormonal control was poor. Consequently, bilateral partial orchiectomies were performed.
Key Words: Testicular neoplasms, Adrenal rest tumor, Child, Congenital adrenal hyperplasia, Steroid, 21-hydroxy


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