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Bilateral intra-abdominal testicular tumor: Case report
Fatih Sandikci1, Sertac Cimen1, Sanem Guler Cimen2
1University of Health Sciences, Diskapi Training and Research Hospital, Department of Urology, Ankara, Turkey.
International Journal of Surgery Case Reports
|July 7, 2018
Summary
Bilateral intra-abdominal testis tumors are rare, often presenting as an abdominal mass in adults. Surgical resection and chemotherapy offer a viable management strategy for this condition.
Area of Science:
- Urology
- Oncology
- Reproductive Medicine
Background:
- Bilateral intra-abdominal testes represent a rare clinical finding.
- Undescended testes, particularly when bilateral and intra-abdominal, carry an increased risk of malignancy in adulthood.
Purpose of the Study:
- To present a case of bilateral intra-abdominal testicular tumors.
- To discuss potential management strategies for this rare condition.
Main Methods:
- A case report of a 32-year-old male with an intra-abdominal solid mass and empty scrotum.
- Diagnostic workup included laboratory tests, imaging, laparotomy, and histopathology.
- Treatment involved surgical resection of the mass and contralateral orchiectomy, followed by adjuvant chemotherapy.
Main Results:
- Histopathological examination confirmed a mixed germ cell tumor of the left testis, with a tumor also present in the contralateral testis.
- The patient underwent successful surgical treatment and adjuvant chemotherapy.
- Six-month follow-up showed all parameters within normal limits.
Conclusions:
- Bilateral intra-abdominal testicular tumors are exceptionally rare, lacking established management guidelines.
- Management is typically based on case reports and individual clinical experience.
- Surgical exploration combined with adjuvant chemotherapy is a reasonable therapeutic approach.
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