Presentation
History of congenital adrenal hyperplasia and early puberty.
Patient Data
Age: 14 years
Gender: Male
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Grayscale ultrasound and colour Doppler mode show bilateral hypoecoic pseudomasses along the mediastinum testis, with peripheral vascularity.
Case Discussion
This case demonstrates typical features of adrenal rests, which may mimic testicular tumours.
Adrenal rests represent adrenal cortical cells that become incorporated into gonadal tissue during fetal life. These adrenal rests may enlarge under the influence high levels of adrenocorticotropic hormones and cortical cell stimulation.
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