Tiny nodule in the testicle: Case report of a sertoli cell tumor

Abstract

Sex cord-stromal tumors of the testis are rare. We report on a small Sertoli cell tumor in the testicle. According to published reports, a nodular lesion on the testicle has a variety of differential diagnoses. Preoperatively, it is very difficult to differentiate between a tumorous lesion and an inflammatory change. When a tiny nodule in the testicle is encountered, we propose limited, testicular-sparing surgery according to the frozen section diagnosis.

Partial Orchiectomy for the Treatment of a Benign Sclerosing Sertoli Cell Tumor: A Report of a Rare Tumor in Association With Testicular Microlithiasis

“…Others have also suggested a testicular-sparing approach for small, incidental testicular lesions. 5 If an intra-operative pathological diagnosis of a benign tumor can be established, then a partial orchiectomy remains a reasonable surgical treatment option. If a diagnosis remains in question, then a radical orchiectomy should remain the procedure of choice.…”

Testisin Seks Kord/Stromal Tümörlerinde Güncel Tedavi Yaklaşımları

“…Leydig hücreli tümörlerle ilgili yapılan testis koruyucu cerrahi ile ilgili olarak dört büyük seri literatürde görülmekte bu çalışmalara bakıldığında takip sürelerinin ortalama 4-8 yıl olduğunu ve sadece bir olguda lokal rekürrens haricinde lokal ya da uzak rekürrens olmadığı bildirilmektedir (13,14,32,33). Az sayıda Sertoli hücreli tümörlerle ilgili bildirilmiş testis koruyucu cerrahi yapılan hastaların takiplerinde rekürrens saptanmadığı bildirilmiştir (34,35,36). Asemptomatik insidental, nonpalpable ve küçük testis tümörlerine ultrasonografik taramalarda karşılaşılabilmektedir.…”

Sertoli Cell Nodule with Histomorphological and Immunohistochemical Features and its Differential Diagnosis: A Case Report

“…Leydig cell tumors are the most common sex cord stromal tumors, followed by Sertoli cell tumors, granulosa cell tumors and myoid gonadal tumors in order of decreasing frequency [1]. Sertoli cell neoplasia group, which is the second most common testicular tumors after Leydig cell tumors among sex-cord stromal tumors, constitutes 1% of all testicular tumors [2].…”