Retroperitoneal extension of massive ulcerated testicular seminoma through the inguinal canal: A case report.
Arch Ital Urol Androl
; 93(1): 64-67, 2021 Mar 19.
Article
em En
| MEDLINE
| ID: mdl-33754611
ABSTRACT
INTRODUCTION:
Testicular cancers represent about 5% of all urological malignancies and 1-1.5% of all male neoplasms. Most of the testicular cancers are localized (68%) at diagnosis. Bulky masses in the scrotum are rare. We present a rare case of bulky testicular cancer with retroperitoneal spread through the inguinal canal. CASE REPORT A 44-year-old man came to the emergency department referring weakness and the presence of a scrotal mass. At physical examination, a voluminous mass was found, with necrotic phenomena within the scrotum. Abdomen was tense and sore. Abdominal CT scan revealed a bulky testicular mass spreading to the retroperitoneal space through the inguinal canal with node enlargement. Patient underwent orchiectomy with excision of infiltrated scrotum skin. Histologic diagnosis confirmed a typical form seminoma. The patient was then treated with a cisplatin-based chemotherapy, with a partial response. The patient recently relapsed and he is being treated with a new line of chemotherapy and subsequent surgery with or without radiotherapy.CONCLUSIONS:
We described a rare presentation of testicular cancer. This case highlights the importance of a multidisciplinary approach to rare testis tumour presentation and early diagnosis for testicular cancers.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Retroperitoneais
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Neoplasias Testiculares
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Seminoma
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Canal Inguinal
Tipo de estudo:
Screening_studies
Limite:
Adult
/
Humans
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Male
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article