Testicular Adrenal Rest Tumour (TART) or Testicular Malignancy: A Clinical Dilemma

Authors

• Moni Roy Department of Internal Medicine, University of Illinois College of Medicine at Peoria and OSF Saint Francis Medical Center, Peoria, Illinois, USA
• Ashish Kumar Roy Department of Internal Medicine, University of Illinois College of Medicine at Peoria and OSF Saint Francis Medical Center, Peoria, Illinois, USA
• Tulika Chatterjee Department of Internal Medicine, University of Illinois College of Medicine at Peoria and OSF Saint Francis Medical Center, Peoria, Illinois, USA
• Saurabh Bansal Department of Internal Medicine, University of Illinois College of Medicine at Peoria and OSF Saint Francis Medical Center, Peoria, Illinois, USA

Moni.Roy@osfhealthcare.org

Keywords

Abstract

Testicular adrenal rest tumour (TART) is a known entity in patients with congenital adrenal hyperplasia. An adult patient presenting with testicular enlargement raises a concern for malignancy and this creates a diagnostic dilemma between non-malignant conditions such as TART versus testicular malignancy. We describe a case where the patient underwent orchiectomy due to clinical concern for malignancy but, retrospectively, this outcome could have been prevented by medical treatment. This case emphasises the need to learn from errors. There is a need to increase awareness of the condition among medical professionals to reduce the chances of unnecessary surgical intervention.