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Bilateral metachronous testicular seminoma
1Department of Urology, Faculty of Medicine, University of Trakya, Edirne, Turkey.
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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