A case of highly aggressive anaplastic seminoma of the testis presenting as fungating scrotal lesion

  • Massimiliano Creta | max.creta@gmail.com Unità Operativa di Urologia, Ospedale Buon Consiglio - Fatebenefratelli, Napoli, Italy.
  • Vincenzo Mirone Clinica Urologica, Università Federico II di Napoli, Napoli, Italy.
  • Sergio Di Meo Unità Operativa di Urologia, Ospedale Buon Consiglio - Fatebenefratelli, Napoli, Italy.
  • Roberto Buonopane Unità Operativa di Urologia, Ospedale Buon Consiglio - Fatebenefratelli, Napoli, Italy.
  • Nicola Longo Clinica Urologica, Università Federico II di Napoli, Napoli, Italy.
  • Ferdinando Fusco Clinica Urologica, Università Federico II di Napoli, Napoli, Italy.
  • Nicola Rosario Forte Unità Operativa di Anatomia Patologica, Ospedale Fatebenefratelli, Benevento, Italy.
  • Vittorio Imperatore Unità Operativa di Urologia, Ospedale Buon Consiglio - Fatebenefratelli, Napoli, Italy.

Abstract

Anaplastic seminoma (AS) is an uncommon histological variant of classical seminoma of the testis and account for 5%-15% of cases. It is poorly described in the scientific literature. We present the case of a 50-years-old homeless man presenting with fever, marked left scrotal hardness and a fungating left scrotal lesion. He underwent left orchiopexy 40 years before. A computed tomography with contrast media showed a suspect testis cancer with scrotal involvment, extensive intralesional necrosis and multiple systemic metastases. A wide excision of the left hemiscrotum including the testis was performed in order to prevent severe local and systemic infectious complications. Histological examination revealed an AS. General conditions showed a rapid deterioration and the patient died on post operative day 10.

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Published
2017-06-30
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Section
Case Reports - Oncology
Keywords:
Anaplastic seminoma, Cryptorchidism, Fungating lesion
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How to Cite
Creta, M., Mirone, V., Di Meo, S., Buonopane, R., Longo, N., Fusco, F., Forte, N. R., & Imperatore, V. (2017). A case of highly aggressive anaplastic seminoma of the testis presenting as fungating scrotal lesion. Archivio Italiano Di Urologia E Andrologia, 89(2), 158-159. https://doi.org/10.4081/aiua.2017.2.158

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