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[Testicular adrenal rest tumor in the background of congenital adrenal hyperplasia].

The prevalence of testicular adrenal rest tumors differs in different manifestations of congenital adrenal hyperplasia. Tactile, usually bilateral, testicular abnormalities occur in 90-95% of cases as a result of adrenal cortical hyperplasia caused by the lack of the enzyme 21-hydroxylase. Adrenal rest tumors, although well known lesions, require a multidisciplinary approach to their diagnosis and treatment. Cooperation between the endocrinological, urological, pathological and radiological professions is of paramount importance. If detected at an early stage, adequate steroid hormone elevation may help reduce the size of the volume. However, late detection results in irreversible damage that leads to infertility. Because treatment is significantly different from other benign and malignant testicular lesions, it is important to make an early and accurate diagnosis. In connection with our case report, we present the differential diagnostic and treatment difficulties of testicular adrenal rest tumors from a multidisciplinary perspective. Orv Hetil. 2020; 161 (16): 623-631.