Bilateral and synchronic seminomatous testicular neoplasia

Testicular neoplasia is rare, especially when it is bilateral, and even more when it is synchronic, with its incidence being only 0.17% of germinative tumors of testicles. We present here the case of a male, 32-year old patient, without children. Patient underwent a bilateral radical orchiectomy, following previous sperm harvest, in a sperm bank. Surgery was performed in 2 stages, with a 12-day interval, with implantation of a silicone testicular prosthesis. The result of anatomicopathological examination revealed bilateral classical seminoma, pT2 on the right side and T1 on the left. He was submitted to bilateral complementary radiotherapy, with 2,500 cGy on each side. Patient had a good outcome from a medical and oncologic perspective, but a follow-up with psychotherapy was needed.