“…The occurrence of testicular tumours has been associated with clinical changes (Lipowitz et al., 1973) including prostatic diseases (Gill, 1981; Spackman and Roth, 1988), several cutaneous syndromes (Barsanti et al., 1979; Fadok et al., 1986), haematological disorders (Sherding et al., 1981; Morgan, 1982; Morris, 1983; Suess et al., 1992) and perianal neoplasms (Scott and Reimers, 1986). Testicular tumours may also be associated with metastatic behaviour (Hogenhesch et al., 1987; Tennant and Kelly, 1992; Dhaliwal et al., 1999; Sugnini et al., 2000): seminomas are metastatic in 5–10% of cases, primarily localizing to the sublumbar lymph nodes (Cooley and Waters, 2001) and occasionally to other organs (Hogenhesch et al., 1987; Ogilvie and Moore, 1995; Sugnini et al., 2000). While metastases of sertolioma have been described (Dhaliwal et al., 1999), no metastatic cases of Leydig cell tumours have been reported.…”