Abstract

A 2½ year old boy presented with excessive growth and other signs of precocious puberty. The left testis was slightly larger than the right, but both were of pre-pubertal size (1 - 2 mls). Investigation showed a high serum testosterone. Ihe relative value of different techniques (tomography, angiography, iodocholestsrol scanning, and venous sampling) in localising the site of the excessive testosterone production are compared. Eventually the left testis was removed and histological examination revealed generalised interstitial cell hyperplasia without actual tumour formation.

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