TY - JOUR AU - Creta, Massimiliano AU - Mirone, Vincenzo AU - Di Meo, Sergio AU - Buonopane, Roberto AU - Longo, Nicola AU - Fusco, Ferdinando AU - Forte, Nicola Rosario AU - Imperatore, Vittorio PY - 2017/06/30 Y2 - 2024/03/28 TI - A case of highly aggressive anaplastic seminoma of the testis presenting as fungating scrotal lesion JF - Archivio Italiano di Urologia e Andrologia JA - Arch Ital Urol Androl VL - 89 IS - 2 SE - Case Reports - Oncology DO - 10.4081/aiua.2017.2.158 UR - https://www.pagepressjournals.org/aiua/article/view/aiua.2017.2.158 SP - 158-159 AB - 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. ER -