Document Detail


Feminizing Sertoli cell tumors associated with Peutz-Jeghers syndrome: an increasingly recognized cause of prepubertal gynecomastia.
MedLine Citation:
PMID:  9734436     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Testicular sex cord tumors with annular tubules are an increasingly recognized cause of prepubertal gynecomastia typically accompanied by accelerated linear growth and advanced bone maturation. Serum estrogen levels may be elevated. Testicular ultrasound and biopsy are diagnostic, and mastectomy is indicated. Although these tumors can occur independently, causing gynecomastia in 10 percent of cases, they usually occur in patients with Peutz-Jeghers syndrome. In any Peutz-Jeghers syndrome patient developing gynecomastia, a testicular tumor should be sought. Conversely, because a significant proportion of all reported prepubertal gynecomastia patients have Peutz-Jeghers syndrome with testicular tumors, this syndrome must be considered for all young boys in whom the cause of gynecomastia is not otherwise apparent. When Peutz-Jeghers syndrome is suspected, gastroscopy, colonoscopy, and testicular biopsies can be performed under one anesthetic at the time of mastectomy.
Authors:
M C Hertl; J Wiebel; H Schäfer; H P Willig; W Lambrecht
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  102     ISSN:  0032-1052     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  1998 Sep 
Date Detail:
Created Date:  1998-09-17     Completed Date:  1998-09-17     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1151-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatric Surgery, University Hospital, Hamburg, Germany.
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
Follow-Up Studies
Gynecomastia / etiology*,  surgery
Humans
Male
Mastectomy, Subcutaneous
Paraneoplastic Endocrine Syndromes / diagnosis,  etiology*,  surgery
Peutz-Jeghers Syndrome / complications*,  diagnosis,  surgery
Sertoli Cell Tumor / complications*,  diagnosis,  surgery
Testicular Neoplasms / complications*,  diagnosis,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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