Greeting and significance: Men commonly develop spontaneous tumours called testicular neoplasms. Neoplasms associated with sex cord stromal tumours are also the rarest subset of them. The most prevalent type of testicular stromal tumours is Leydig cell tumours. In our situation, cryptorchidism was the underlying risk factor linked to the growth of Leydig cell tumours. Although usually unilateral, occurrences of bilateral cryptorchidism may exist and have very occasionally been documented. Presentation of a case we are reporting on a 36-year-old male who has been unable to have sex for the previous two years without having trouble getting an erection when stimulated. He had left orchidopexy 20 years prior due to a history of left undescended testis from birth. An ultra-sonogram a heterogeneous oval hypoechoic mass in the right midinguinal canal on the pelvis. Relevant blood tests revealed an abnormal hormonal profile. After that, he underwent a right radical orchiectomy without incident; the histology revealed a Leydig cell tumour. Clinical conversation: Rarely have reports been made of bilateral cryptorchidism in LCT. The clinical presentation, treatment, and additional follow-up in this case are highlighted. Long-term follow-up is necessary for these patients since bilateral congenital cryptorchidism may be linked to Leydig cell tumour years later in life. These tumours may appear differently clinically depending on the person. Any physical changes, hormonal tests, and imaging investigations should be immediately investigated for potential surgical resection and strict supervision.
Published Date: 2023-05-30; Received Date: 2023-05-01