Leydig cell tumors (LCTs) are rare in children and typically present with testicular masses and signs of early puberty. We report a case of a 6-year-old boy presenting solely with precocious pubic hair growth. Ultrasound revealed a small right testicular mass and elevated serum testosterone. Intra-operatively, hair growth was more prominent on the affected hemi-scrotum. Testis-sparing surgery confirmed a benign LCT with adjacent increased spermatogenesis. This is the first known report of ipsilateral pubic hair as a presenting sign of LCT. Localized androgen excess may be an early clinical indicator to guide timely diagnosis and treatment.

Leydig cell tumor

Paracrine effects

Precocious puberty

Pubic hair

Sex cord-gonadal stromal tumor

Testis mass

Testis neoplasm

Testis-sparing surgery

© 2025 The Authors. Published by Elsevier Inc.