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A case of highly aggressive anaplastic seminoma of the testis presenting as fungating scrotal lesion

Massimiliano Creta, Vincenzo Mirone, Sergio Di Meo, Roberto Buonopane, Nicola Longo, Ferdinando Fusco, Nicola Rosario Forte, Vittorio Imperatore
  • Massimiliano Creta
    Unità Operativa di Urologia, Ospedale Buon Consiglio - Fatebenefratelli, Napoli, Italy | max.creta@gmail.com
  • Vincenzo Mirone
    Clinica Urologica, Università Federico II di Napoli, Napoli, Italy
  • Sergio Di Meo
    Unità Operativa di Urologia, Ospedale Buon Consiglio - Fatebenefratelli, Napoli, Italy
  • Roberto Buonopane
    Unità Operativa di Urologia, Ospedale Buon Consiglio - Fatebenefratelli, Napoli, Italy
  • Nicola Longo
    Clinica Urologica, Università Federico II di Napoli, Napoli, Italy
  • Ferdinando Fusco
    Clinica Urologica, Università Federico II di Napoli, Napoli, Italy
  • Nicola Rosario Forte
    Unità Operativa di Anatomia Patologica, Ospedale Fatebenefratelli, Benevento, Italy
  • Vittorio Imperatore
    Unità Operativa di Urologia, Ospedale Buon Consiglio - Fatebenefratelli, Napoli, Italy

Abstract

Anaplastic seminoma (AS) is an uncommon histological variant of classical seminoma of the testis and account for 5%-15% of cases. It is poorly described in the scientific literature. We present the case of a 50-years-old homeless man presenting with fever, marked left scrotal hardness and a fungating left scrotal lesion. He underwent left orchiopexy 40 years before. A computed tomography with contrast media showed a suspect testis cancer with scrotal involvment, extensive intralesional necrosis and multiple systemic metastases. A wide excision of the left hemiscrotum including the testis was performed in order to prevent severe local and systemic infectious complications. Histological examination revealed an AS. General conditions showed a rapid deterioration and the patient died on post operative day 10.

Keywords

Anaplastic seminoma; Cryptorchidism; Fungating lesion

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Submitted: 2017-05-01 17:20:38
Published: 2017-06-30 00:00:00
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Copyright (c) 2017 Massimiliano Creta, Vincenzo Mirone, Sergio Di Meo, Roberto Buonopane, Nicola Longo, Ferdinando Fusco, Nicola Rosario Forte, Vittorio Imperatore

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