Bilateral synchronous testicular seminoma: A rare presentation of a rare disease
https://doi.org/10.4081/aiua.2018.1.68
Submitted: October 28, 2017
Accepted: November 19, 2017
Published: March 31, 2018
Accepted: November 19, 2017
Abstract Views: 1123
PDF: 507
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Material and method: A 37 years old man presented a bilateral testicular mass with elevated tumoral markers. Histology of frozen section revealed bilateral seminoma and bilateral radical orchiectomy was performed.
Result: Enhanced chest and abdominopelvic staging CT scan revealed a lymphadenopathy of 30 mm within the inter-aortocava nodal chain (stage IIB). Patient received three cycles of BEP. Three months later 18F-FDG PET showed no evidence of hypermetabolic activity and serum tumoral markers were normal.
Conclusion: Bilateral testicular germ cell tumors are a rare disease. Management of this tumors is controversial. Bilateral radical orchiectomy is the standard of care, nevertheless, in order to preserve fertility and androgen production, an organsparing surgery can be attempted in selected cases. Although prognosis is good, with overall survival rates similar to patients with unilateral disease, life-long close follow-up may be advocated due to relapse risk.
de Oliveira, P. S., de Oliveira, T. R., Pereira, S., Martinho, D., & Lopes, T. (2018). Bilateral synchronous testicular seminoma: A rare presentation of a rare disease. Archivio Italiano Di Urologia E Andrologia, 90(1), 68–69. https://doi.org/10.4081/aiua.2018.1.68
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