First case of bilateral, synchronous anaplastic variant of spermatocytic seminoma treated with radical orchifunicolectomy as single approach: Case report and review of the literature

  • Giorgio Gentile Department of Urology, Azienda Ospedaliero-Universitaria Policlinico S.Orsola-Malpighi, Bologna, Italy.
  • Francesca Giunchi Department of Pathology, Azienda Ospedaliero-Universitaria Policlinico S.Orsola-Malpighi, Bologna, Italy.
  • Riccardo Schiavina Department of Urology, Azienda Ospedaliero-Universitaria Policlinico S.Orsola-Malpighi, Bologna, Italy.
  • Alessandro Franceschelli Andrology Unit, Azienda Ospedaliero-Universitaria Policlinico S.Orsola-Malpighi, Bologna, Italy.
  • Marco Borghesi | mark.borghesi@gmail.com Department of Urology, Azienda Ospedaliero-Universitaria Policlinico S.Orsola-Malpighi, Bologna, Italy.
  • Ziv Zukerman Department of Urology, Azienda Ospedaliero-Universitaria Policlinico S.Orsola-Malpighi, Bologna, Italy.
  • Matteo Cevenini Department of Urology, Azienda Ospedaliero-Universitaria Policlinico S.Orsola-Malpighi, Bologna, Italy.
  • Valerio Vagnoni Department of Urology, Azienda Ospedaliero-Universitaria Policlinico S.Orsola-Malpighi, Bologna, Italy.
  • Daniele Romagnoli Department of Urology, Azienda Ospedaliero-Universitaria Policlinico S.Orsola-Malpighi, Bologna, Italy.
  • Fulvio Colombo Andrology Unit, Azienda Ospedaliero-Universitaria Policlinico S.Orsola-Malpighi, Bologna, Italy.
  • Giuseppe Martorana Department of Urology, Azienda Ospedaliero-Universitaria Policlinico S.Orsola-Malpighi, Bologna, Italy.
  • Eugenio Brunocilla Department of Urology, Azienda Ospedaliero-Universitaria Policlinico S.Orsola-Malpighi, Bologna, Italy.

Abstract

Spermatocytic Seminoma (SS) is less common than the Classic variant, as its incidence ranges between 1.3% and 2.3% of all seminomas. Generally SS is diagnosed in men older than 50 years. The Anaplastic variant of Spermatocytic Seminoma is characterized by an earlier onset when compared to SS, but a benign behavior in spite of its histological patterns similar to Classic Seminoma. We reported the first case of bilateral, largest and synchronous Anaplastic Spermatocytic Seminoma, in a patient treated with radical orchifunicolectomy alone and with long-term follow-up. The currently available data show that Anaplastic SS reveals a clinically benign behavior, and no distant metastases have been reported so far. A close surveillance after surgery could be considered a valid option in the management of this rare testicular neoplasm.

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Published
2014-03-28
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Section
Case Reports - Andrology
Keywords:
Testicular cancer, Spermatocytic seminoma, Anaplastic variant, Bilateral disease, Radical orchifunicolectomy
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How to Cite
Gentile, G., Giunchi, F., Schiavina, R., Franceschelli, A., Borghesi, M., Zukerman, Z., Cevenini, M., Vagnoni, V., Romagnoli, D., Colombo, F., Martorana, G., & Brunocilla, E. (2014). First case of bilateral, synchronous anaplastic variant of spermatocytic seminoma treated with radical orchifunicolectomy as single approach: Case report and review of the literature. Archivio Italiano Di Urologia E Andrologia, 86(1), 41-42. https://doi.org/10.4081/aiua.2014.1.41

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