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[Bilaterally synchronous mixed germ cell testicular tumor]
C Cuervo Pinna1, J P Rodríguez Rincón, A Abengozar García-Moreno
1Servicio de Urología, Hospital Regional Infanta Cristina, Badajoz, España.
Objective:
To report an uncommon case of bilateral synchronous mixed testicular germ cell tumor.
Methods:
A young male had consulted at our urological services for a unilateral enlarged testis. A testicular tumor was suspected; scrotal US was performed, testicular tumor markers were determined and complementary studies to determine tumor extension were performed.
Results:
The US findings suggested a chronic inflammatory condition with bilateral diffuse infiltration, tuberculosis was discarded and bilateral testicular tumor was suspected, which was confirmed by bilateral intraoperative biopsy. A bilateral radical orchidectomy was performed. Adjuvant chemotherapy with cisplatin, VP-16 and bleomycin was administered after bilateral radical orchidectomy due to the attending risk factors for tumor recurrence. The patient is disease-free one year postoperatively.
Conclusions:
Bilateral synchronous testicular germ cell tumors are rare. Scrotal US is a simple, noninvasive and efficient diagnostic imaging method; however, it does not provide pathognomonic images that could indicate the histological nature of the tumor.