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Polyorchidism and testicular malignancy, what can we learn: A case report
Derri Hafa Nurfajri1, Dono Pranoto2, Sawkar Vijay Pramod1
1Urology Department, Hasan Sadikin Academic Medical Center, Faculty of Medicine Universitas Padjajaran, Bandung, Indonesia.
Introduction:
Polyorchidism is a rare condition with a total number of approximately 190 cases. Malignancy was found in 6,4% of cases.
Case Presentation:
A 57 years old man came with a sudden and persistent painful mass in right inguinal region. The patient decided to undergo surgery with diagnosis of incarserated lateral hernia inguinal and obtained a testicular-like lump in the right inguinal canal, then the patient underwent orchiectomy. Histopathological examination revealed a soft tissue tumor with microscopic characteristic of seminoma. CT-Scan revealed metastasis to lung and liver.
Conclusion:
Attention must be given to detect malignancy in polyorchidism.
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