Abstract

A 23-year-old man was admitted to our outpatient clinic complaining of infertility and bilateral testicular masses. At physical examination nodular lesions were detected in bilateral testes. The medical history revealed congenital adrenal hyperplasia due to 11-beta-hydroxylase deficiency since the age of 2 years. Serum tumor markers were within the normal range. The patient underwent high inguinal testicular exploration; and since differential diagnosis of testicular tumor could not be made with frozen section, high inguinal orchiectomy was performed. The diagnosis of testicular adrenal rest tumor had been confirmed by clinical, morphological, immunohistochemical, laboratory, and endocrinological evaluations, and the patient was referred to endocrinology clinic for future treatment. Clinical control was recommended once a year for testicular masses in left testes.