[Current status of the diagnosis and treatment of Leydig cell testicular tumor. Report of two cases].

OBJECTIVES

To review the current diagnosis and treatment of Leydig cell testicular tumors, with special attention to conservative treatment.

METHODS

We report two cases of Leydig cell tumor in young adults, diagnosed two years after the appearance of bilateral gynecomastia as first clinical symptom.

RESULTS

One year and eight months after orchyectomy, respectively, clinical symptoms completely disappear in the first case and significantly improved in the second.

CONCLUSIONS

Around 10% of the cases, and only in adult patients, these tumors may be malignant, being radical orchyectomy the treatment of choice, although conservative surgery may be performed. Independently of the operation, follow-up must be prolonged.