Seminoma in undescended testis

Lim, Yun Jung; Jeong, Myeong Ja; Bae, Byung Noe; Kim, Soung Hee; Kim, Jiyoung

doi:10.1007/s00261-007-9219-z

Cited by 12 publications

(19 citation statements)

References 7 publications

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“…Furthermore, an abdominal testis is four times more likely to develop tumour compared with an inguinal testis. [5] Undescended testis may be located anywhere along the pathway of testicular descent but 66% are located distally to the external inguinal ring, 16% are in the inguinal canal and 10% remain in the abdominal region 3. Our patient’s undescended testicle was visualised within the inguinal canal although his tumour burden was intra-abdominal.…”

Section: Discussionmentioning

confidence: 82%

“…In an undescended testicular seminoma, clinical presentation may vary widely from asymptomatic mass to symptoms simulating appendicitis, mass effect symptoms or acute abdominal pain secondary to torsion or haemorrhage 3. One case reported a rapidly enlarging mass in the left lower abdomen, immediately above the left groin, initially thought to be a soft tissue sarcoma 5.…”

Section: Discussionmentioning

confidence: 99%

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Large intra-abdominal seminoma in a left undescended testicle complicated by torsion

et al. 2018

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A 39-year-old man presented with a 2-day history of worsening constant, dull diffuse lower abdominal pain with associated constipation and known history of left undescended testicle. He was evaluated at an outside hospital where a non-contrasted CT scan revealed a 20 cm well-circumscribed soft tissue mass within the pelvis.He was referred and further imaging revealed a 12 cm heterogeneous mass with foci of air that appeared to be contiguous with the left spermatic cord. This constellation of findings could represent torsion of undescended left testicle with infarction or underlying malignancy. Tumour markers were only significant for elevated lactate dehydrogenase of 1445. A subsequent ultrasound-guided biopsy of the mass demonstrated seminoma.Surgical resection revealed a large intra-abdominal mass emanating from the left spermatic cord with 270° of torsion. There appeared to be a left atrophic remnant testicle at the base of the mass with final pathology confirming the diagnosis of classic seminoma.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Large intra-abdominal seminoma in a left undescended testicle complicated by torsion

et al. 2018

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“…Undescended testes may be located anywhere along the developmental testicular descent pathway from the lower pole of the kidney to the external inguinal ring [5]. The etiology of undescended testis is multifactorial.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis of seminoma is difficult in patients with undescended testis due to nonspecific complaints, such as abdominal pain and secondary symptoms from effects of the mass [5]. Several cases of germ cell tumors initially presented with acute abdomen have been reported previously, and in these cases acute abdomen occurred by torsion or bleeding of intraabdominal testes [25,26].…”

Section: Discussionmentioning

confidence: 99%

Seminoma presented with acute abdomen due to ileum perforation

et al. 2010

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AbstractGerm cell tumors presenting with an acute abdomen are not common. We present a case of seminoma with ileum perforation, which presented in a 48-year-old man. who had been admitted to hospital with a right lower abdominal palpable mass measuring approximately 16 cm. Before an exploratory laparotomy was performed, acute abdomen with signs of hollow viscus perforation had occurred. An ileum perforation was detected and a right hemicolectomy and ileal resection were performed. The pathological examination showed a classic seminoma of undescended testis. In conclusion, this case is interesting with respect to its clinical picture of acute abdomen due to ileal perforation. The possibility of a germ cell tumor should always be kept in mind in male patients with acute abdomen.

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“…The intra-abdominal testicle is subject to complications such as cancer, ischemia and infertility 1 . The most common malignant transformation of undescended testicle is the seminoma 2 , 3 , 5 . Here is presented a case of adult massive pelvic mass corresponding to seminoma developed in intra-abdominal testis.…”

Section: Introductionmentioning

confidence: 99%