“…5,8,9 Among testicular neoplasms, it has been reported that Leydig cell tumors frequently present with gynecomastia, with the incidence reported as 15%-30%. 8,10 Testicular germ cell tumors, including seminoma and teratoma, can also present with gynecomastia, particularly in cases of tumors secreting β-HCG, which stimulates estrogen synthesis in normal Leydig cells. 5,11,12 Thus, the possibility of a testicular tumor should be considered in all male patients presenting with gynecomastia.…”