Retroperitoneal extension of massive ulcerated testicular seminoma through the inguinal canal: A case report

Submitted: June 2, 2020
Accepted: June 26, 2020
Published: March 19, 2021
Abstract Views: 1322
PDF: 634
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Authors

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.

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Citations

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How to Cite

Antonaci, A., Fasanella, D., Galica, V., Tinari, N., Giampietro, J., Di Marino, P., Delli Pizzi, A., Basilico, R., Schips, L., & Marchioni, M. (2021). Retroperitoneal extension of massive ulcerated testicular seminoma through the inguinal canal: A case report. Archivio Italiano Di Urologia E Andrologia, 93(1), 64–67. https://doi.org/10.4081/aiua.2021.1.64