Two primary seminomas in a patient with polyorchidism

Ghose, A.M.; Rodrigues, G.B.; Izawa, Jonathan I.

doi:10.5489/cuaj.85

Cited by 3 publications

(4 citation statements)

References 16 publications

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“…Due to the relatively low incidence of cancers associated with SNT, it is not easy to assess which histological types are the most common. For the cases included in our analysis, histopathological examinations revealed seminoma and intratubular germ cell neoplasia (IGCN) [ 24 , 59 ]. Bergholz et al [ 3 ] also reported choriocarcinoma, teratoma, and embryonal carcinoma cases.…”

Section: Discussionmentioning

confidence: 99%

Polyorchidism: An Up-to-Date Systematic Review

Balawender

Wawrzyniak

Kobos

et al. 2023

JCM

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Polyorchidism is a rare male urogenital tract anomaly characterized by at least one supernumerary testis in the scrotum or ectopically. According to data based on our systematic review, 76% of the supernumerary testes (SNTs) were located in the scrotum, and 24% were extra-scrotal (p < 0.001). Among testes located outside the scrotum, 87% were found in the inguinal canal and 13% in the abdominal cavity. In 80% of cases, the diagnosis of SNT was made based on imaging tests, and the remaining 20% of cases were detected incidentally during surgery. The imaging tests performed (US or MRI) resulted in a significantly higher rate of patients who qualified for observation vs. surgical treatment (45% vs. 35%, p < 0.001). The most common conditions associated with SNT were ipsilateral inguinal hernia (15% of cases) and cryptorchidism (15% of cases). Surgery (orchidopexy/orchidectomy) was performed on 54% of patients with SNT, and the decision to observe the SNT was made in a total of 46% of patients (p = 0.001). The therapeutic approach depends on the location of the SNT and the presence of factors that raise suspicion of neoplastic proliferation.

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Section: Discussionmentioning

confidence: 99%

Polyorchidism: An Up-to-Date Systematic Review

Balawender

Wawrzyniak

Kobos

et al. 2023

JCM

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“…3 The occurrence of malignant tumors like seminoma or germ cell tumors in supernumerary testis has been described and explains the potential need for followup with ultrasonographic surveillance of these patients. 8 The ultrasonographic hallmark of polyorchidism is the identification of a scrotal mass, which appears identical to the ipsilateral testis on every ultrasonographic technique performed, including echogenicity pattern on B-mode. 1,6,9 This mass may be found attached to the ipsilateral testis or separated and located superiorly or inferiorly.…”

Section: Discussionmentioning

confidence: 99%

“…3 The occurrence of malignant tumors like seminoma or germ cell tumors in supernumerary testis has been described and explains the potential need for follow-up with ultrasonographic surveillance of these patients. 8…”

Section: Discussionmentioning

confidence: 99%

Multiparametric ultrasound findings in a patient with polyorchidism

et al. 2017

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Polyorchidism is a rare condition usually incidentally discovered in young patients investigated with ultrasound for unrelated reasons. It is characterized by the presence of unilateral or, rarely, bilateral supernumerary testes which, depending on the type of polyorchidism, may have their own epididymis and vas deferens. Ultrasound, including B-mode and color Doppler technique, represents the primary imaging modality for the evaluation of scrotal diseases, including the characterization of supernumerary testes, which normally appear identical to the ipsilateral testicular parenchyma on every ultrasonographic technique performed. The role of MRI is thus limited to confirming ultrasonographic findings and excluding the presence of malignancy. Contrast-enhanced ultrasound is a recently introduced ultrasonographic technique providing detailed and sensitive visualization of the perfusion pattern of structures. It can thus be added to the conventional ultrasonographic examination in order to establish the diagnosis, negating the use of more expensive and time-consuming imaging modalities. We present a young patient with an incidentally found supernumerary testis, where new distinctive ultrasonographic findings, like the identification of transmediastinal vessels and a cystic appendage along with the perfusion pattern on contrast-enhanced ultrasound, established the diagnosis of polyorchidism.

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“…Tumors reported in patients with polyorchidism include intrascrotal rhabdomyosarcoma, testicular teratoma, seminoma, and choriocarcinoma [136][137][138]. Orchidectomy has been traditionally indicated in all atrophic testes and those located out of the scrotum [139].…”

Section: Low-transversal Division Of the Genital Ridgementioning

confidence: 99%