Atypical Leydig Cell Tumor in a Young Child

The Leydigioma is a rare tumor of the testicle. It develops from the proliferation of the interstitial cells or Leydig cells, and compete with the endocrine activity of this organ.[1] It usually arises between 20 year and 50 year of life, and rarely reported in children.[2] International literature is rich about the management of testicular tumors in adults and often recommends radical orchidectomy. Few reports of pediatric Leydig cells tumors exist in literature.[2, 3] The tumor cells produce androgen hormones and manifests with precocious physical and sexual development.[4] Rarely the tumor is asymptomatic. We report a case of asymptomatic Leydig cell tumor managed by testis sparing surgery.