Atypical presentation of a classic seminoma
Keywords:
seminoma, testicle, scrotum, orchiectomy, imaging studies.Abstract
Seminoma, a condition that frequently affects young male patients, is the most common testicular germ cell neoplasm. The purposes of the study were to describe a case of classic seminoma and review the literature about the topic. A case is presented of a male 65-year-old patient who reported an increase in volume and pain in his left testicle. Physical examination found a painful mass in the patient's left testicle. Testicular ultrasonography revealed a left testicular tumor of 6x5x3.5 cm. Left orchiectomy and high spermatic cord ligation were performed. The anatomopathological study confirmed the diagnosis of classic seminoma. The patient evolved satisfactorily and currently attends the oncology service. In conclusion, classic seminoma may present at any age, and should be considered in elderly men with a painful testicular mass. However, it does not constitute a health problem in advanced ages. Inguinal orchiectomy with high spermatic cord ligation is an appropriate technique for tumor excision.
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References
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10. Sano Y, Fujiwara M, Yuasa T, Komai Y, Yamamoto T, Kohno A, et al. Testicular seminoma with a progressing pulmonary nodule and mediastin al lymphadenopathy without retroperitoneal metastasis. IJU Case Rep. 2020 [acceso 28/12/2020];3(5):211–4. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7469829/
11. Basu A, Chatterjee M, Dabkara D, Biswas B, Ganguly S, Ghosh J, et al. Adrenal metastasis in anolder patient with seminoma. Cancer Res Stat Treat. 2020 [acceso 28/12/2020];3(4):836-7. Disponible en: https://www.crstonline.com/article.asp?issn=2590-3233;year=2020;volume=3;issue=4;spage=836;epage=837;aulast=Basu
12. Bhat R, Aggarwal M, Tandon M. Seminoma with atypical features: Implications of a distinct disease entity. Indian J Case Rep. 2020 [acceso 28/12/2020];6(11):635-7. Disponible en: https://mansapublishers.com/IJCR/article/view/2656
2. Myadam R, Gohar A. Testicular Seminoma Presenting with Bilateral Blindness: Looking Beyond the Eye. Cureus. 2020 [acceso 28/12/2020];12(4):e7534. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198102/
3. Al-Mousa A, Nour Shashaa M, Shadi Alkarrash M, Alkhamis M, Lina Ghabreau L, Danda M. Unusual case of classic testicular seminoma in a 90-year-old patient: a case report. J Med Case Rep. 2020 [acceso 28/12/2020];14(1):182. Disponible en: https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-020-02517-3
4. Aydin AM, Zemp L, Cheriyan SK, Sexton WJ, Johnstone PAS. Contemporary management of early stage testicular seminoma. Transl Androl Urol. 2020 [acceso 28/12/2020];9(1):S36-S44. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995845/
5. Pasalic D, Prajapati S, Ludmir EB, Tang C, Choi S; Kudchadker R, et al. Outcomes and Toxicities of Proton and Photon Radiation Therapy for Testicular Seminoma. Int J Particle Ther. 2020 [acceso 28/12/2020];7(2):11–20. Disponible en: https://meridian.allenpress.com/theijpt/article/7/2/11/444118
6. Durer C, Comba IY, Durer S, Torres Luna N, Jignesh P, Carilli A. Seminoma metastasized to the prostate: A case report and literature review. Urol Case Rep. 2019 [acceso 28/12/2020];29:101096. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928271/
7. Batool A, Karimi N, Wu XN, Chen SR, Liu YX. Testicular germ cell tumor: a comprehensive review. Cell Mol Life Sci. 2019 [acceso 28/12/2020];76(9):1713–27. Disponible en: https://link.springer.com/article/10.1007%2Fs00018-019-03022-7
8. Simon MA, Iyer S, Goyal G, Chhabra S. Rare Presentation of Burned-Out Testicular Seminoma. Radiol Case Rep. 2020 [acceso 28/12/2020];15(9):1650-3. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7365895/
9. Kumar N, Singh UP, Lal H, Kumar Sureka S. Testicular seminoma with large direct iliac nodal metastasis: unusual presentation. BMJ Case Rep. 2020;13(6):e236702. DOI: http://dx.doi.org/10.1136/bcr-2020-236702
10. Sano Y, Fujiwara M, Yuasa T, Komai Y, Yamamoto T, Kohno A, et al. Testicular seminoma with a progressing pulmonary nodule and mediastin al lymphadenopathy without retroperitoneal metastasis. IJU Case Rep. 2020 [acceso 28/12/2020];3(5):211–4. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7469829/
11. Basu A, Chatterjee M, Dabkara D, Biswas B, Ganguly S, Ghosh J, et al. Adrenal metastasis in anolder patient with seminoma. Cancer Res Stat Treat. 2020 [acceso 28/12/2020];3(4):836-7. Disponible en: https://www.crstonline.com/article.asp?issn=2590-3233;year=2020;volume=3;issue=4;spage=836;epage=837;aulast=Basu
12. Bhat R, Aggarwal M, Tandon M. Seminoma with atypical features: Implications of a distinct disease entity. Indian J Case Rep. 2020 [acceso 28/12/2020];6(11):635-7. Disponible en: https://mansapublishers.com/IJCR/article/view/2656
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Published
2021-09-06
How to Cite
1.
Piñón García K, Almeida Esquivel Y, De Zayas Pelegrín L, Creagh García J. Atypical presentation of a classic seminoma. Rev. Cubana Urol. [Internet]. 2021 Sep. 6 [cited 2025 Feb. 17];10(3). Available from: https://revurologia.sld.cu/index.php/rcu/article/view/701
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