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J Med Life. 2012 Sep 15;5(3):329-31. Epub 2012 Sep 25.

Giant testicular tumor--a case presentation.

Author information

  • 11st Surgery Department of Colentina Clinical Hospital, Bucharest, Romania.

Abstract

BACKGROUND:

Testicular cancer is the most common cancer in men 15 to 35 years old. Histological subtypes are seminoma, non-seminoma and mixed tumours (partly seminoma and partly non-seminoma). Seminomas are more sensitive to radiation therapy and are easier to cure than non-seminomas. The surgical treatment is either orchiectomy, either orchiectomy plus lymph node dissection of the involved ganglia.

CASE PRESENTATION:

We present the case of a 42-year-old man with scrotal pain, important swelling and erythema admitted into our surgical unit. Clinical exam and ultrasound revealed a testicular augmentation of 6/15 cm. Radical orchiectomy was performed and the patient was further referred to the oncology department.

CONCLUSIONS:

Even though the common causes of scrotal erythema with local swelling and pain are orchiepididimitis and testicular torsion, a careful examination followed by a precise ultrasound can reveal a developing testicular tumor, which was complicated by inflammation. Moreover, a careful anamnesis hints to the development of a tumor as the patient was operated on for cryptorchidism in childhood. Orchiectomy followed by radiotherapy in seminomas, has a cure rate of 70 to 100%.

KEYWORDS:

acute scrotum; orchiectomy; seminoma

PMID:
23049638
[PubMed - indexed for MEDLINE]
PMCID:
PMC3465004
Free PMC Article

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