Labels:text | screenshot | black and white | black OCR: Males with precocious puberty will usu he primary manifest physical features that indicate ment is diagnosis, Symmetrical testicular enlarg y in males the first sign of central precocious puber testes are in most cases, while irregularly enlarger rests, found in Leydig cell tumours or adrena imour will Elevated levels of hCG secreted from a t Il be only minimally enlarge the testes but w Small lity of associated, with a positive pregnancy tes testes with virilisation lead to the possil enal congenital adrenal hyperplasia or an ad tumour