Leydig cell tumor
Tumor - Leydig cell; Testicular tumor
The cause of this tumor is unknown. There are no known risk factors for getting this tumor. Unlike germ cell tumors of the testicles, this tumor does not seem to be linked to undescended testes.
Leydig cell tumors make up a very small number of all testicular tumors. They are most often found in men between the ages of 20 and 60. This tumor is not common in children before puberty, but it may cause early puberty.
There may be no symptoms.
When symptoms do occur, they can include:
- Discomfort or pain in the testicle
- Enlargement of a testicle or change in the way it feels
- Excess development of breast tissue (gynecomastia) -- however, this can occur normally in adolescent boys who do not have testicular cancer
- Heaviness in the scrotum
- Lump or swelling in either testicle
- Pain in the lower abdomen or back
Symptoms in other parts of the body, such as the lungs, abdomen, pelvis, back, or brain may also occur if the cancer has spread.
Exams and Tests
A physical examination typically reveals a firm lump in one of the testicles. When the health care provider holds a flashlight up to the scrotum, the light does not pass through the lump.
Other tests include:
- Blood tests for tumor markers: alpha fetoprotein (AFP), human chorionic gonadotropin (beta HCG), and lactate dehydrogenase (LDH)
- Chest x-ray
- CT scan of the abdomen and pelvis
- Ultrasound of the scrotum
An examination of the tissue is usually done after the entire testicle is surgically removed (orchiectomy).
Treatment of a Leydig cell tumor depends on its stage.
- Stage I cancer has not spread beyond the testicle.
- Stage II cancer has spread to lymph nodes in the abdomen.
- Stage III cancer has spread beyond the lymph nodes (possibly as far as the liver, lungs, or brain).
Surgery is done to remove the testicle (orchiectomy). Nearby lymph nodes may also be removed (lymphadenectomy).
Chemotherapy may be used to treat this type of tumor. Because Leydig cell tumors are rare, these treatments have not been studied as much as treatments for other, more common testicular cancers.
Joining a support group where members share common experiences and problems can often help ease the stress of illness.
Testicular cancer is one of the most treatable and curable cancers.
Testicular cancer may spread to other parts of the body. The most common sites include the:
- Retroperitoneal area (the area near the kidneys behind the other organs in the belly area)
Complications of surgery can include:
- Bleeding and infection
- Infertility (if both testicles are removed)
If you are of childbearing age, ask your doctor about methods to save your sperm for use at a later date.
When to Contact a Medical Professional
Call your health care provider if you have symptoms of testicular cancer.
Performing testicular self-examination (TSE) each month may help detect testicular cancer at an early stage, before it spreads. Finding testicular cancer early is important to successful treatment and survival.
Friedlander TW, Ryan CJ, Small EJ, Torti F. Testicular cancer. In: Niederhuber JE, Armitage JO, Doroshow JH, et al., eds. Abeloff's Clinical Oncology. 5th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2013:chap 86.
National Cancer Institute: PDQ Testicular Cancer Treatment. Bethesda, MD: National Cancer Institute. Date last modified 04/02/2014. Available at http://cancer.gov/cancertopics/pdq/treatment/testicular/HealthProfessional. Accessed May 29, 2014.
National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines): Testicular cancer. Version 1.2014. Available at http://www.nccn.org/professionals/physician_gls/pdf/testicular.pdf. Accessed May 29, 2014.
Reviewed By: Yi-Bin Chen, MD, Leukemia/Bone Marrow Transplant Program, Massachusetts General Hospital, Boston, MA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.