Kaplan M, Klein EA. Bilateral metachronous testicular seminoma.
ACTA ACUST UNITED AC 2005;
2:457-60; quiz 1 p following 460. [PMID:
16474684 DOI:
10.1038/ncpuro0295]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2005] [Accepted: 08/01/2005] [Indexed: 11/09/2022]
Abstract
BACKGROUND
A 33-year-old male presented to hospital with a painless right testicular mass measuring 2 x 3 cm and no systemic symptoms. The patient had no relevant medical history. CT and blood tests did not reveal metastasis and the patient was treated with a right inguinal orchiectomy and radiotherapy. After 4 years a routine follow-up examination revealed a 1 cm palpable mass in the left testis.
INVESTIGATIONS
CT, tumor marker assessment, scrotal ultrasonography, Doppler ultrasound examination, and biopsy.
DIAGNOSIS
Bilateral metachronous testicular seminoma, stage pT1N0M0S0.
MANAGEMENT
Radiotherapy, radical orchiectomy, bilateral placement of testicular prostheses, androgen substitution therapy, regular follow-up assessment.
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