A RARE CASE OF BENIGN TESTICULAR TUMOR IN AN INFERTILE MALE

: The Leydig cell tumor (LCT) is a rare interstitial cell tumor that comprises 1 to 3 of all testicular tumors with 3 of them occurring bilaterally (1). They produce endocrine changes due to increased production of androgens and or estrogens. About 10 of LCT are malignant and are larger with an average size of 7.5cm. These tumors are usually treated with orchidectomy.We report a case of a 31 year old gentleman who was incidentally diagnosed with a left testicular tumour, while being investigated for infertility. He was otherwise asymptomatic with insignificant past history. Clinical examinations including his scrotum and testis were normal. Scrotal ultrasonography and contrast enhanced computed tomography of abdomen revealed a lesion in the left testis with no evidence of metastasis. Provisional diagnosis of a testicular neoplasm was made. Serum Lactate dehydrogenase (LDH) was raised. Beta-chorionic gonadotropin (-hCG) and Alfafetoprotein (AFP) levels were within normal limits. Left high orchidectomy was performed. Specimen was sent for histopathological examination which showed the histology of a benign Leydig cell tumour. The couple had a female baby after eighteen months of surgery.