Open AccessHigh orchiectomy and ipsilateral testicular sperm extraction in a man with a testicular tumor and Klinefelter syndrome: A case report
Author(s) -
Takeshima Teppei,
Yamamoto Mizuki,
Takamoto Daiji,
Mochizuki Taku,
Kuroda Shinnosuke,
Kawahara Takashi,
Izumi Koji,
Teranishi Junichi,
Miyoshi Yasuhide,
Otani Masako,
Uemura Hiroji,
Yumura Yasushi
Publication year - 2019
Publication title -
iju case reports
Language(s) - English
Resource type - Journals
ISSN - 2577-171X
DOI - 10.1002/iju5.12037
Subject(s) - testicular sperm extraction , klinefelter syndrome , azoospermia , medicine , sperm retrieval , testicular cancer , orchiectomy , gynecology , infertility , urology , biology , cancer , pregnancy , genetics
Testicular epidermal cysts in Klinefelter syndrome are very rare. We report a case of Klinefelter syndrome associated with a testicular epidermal cyst. To our knowledge, this is the first report showing successful spermatozoa retrieval from the affected testis. Case presentation A 25‐year‐old married man was referred to our hospital with right scrotal induration, which was in lower pole of the right testis. Testicular cancer tumor markers were normal; endocrinological findings indicated hypergonadotropic hypogonadism. Semen analyses revealed azoospermia. Preoperative chromosome test result: 47, XXY karyotype; ultrasonography report: 1.9‐cm internal heterogeneous echoic mass in the right testis (malignancy not discarded). Because the patient hoped for children, he underwent high orchiectomy with ipsilateral testicular sperm extraction (200 spermatozoa from normal testicular tissue) for future fertilization procedures. Tumor pathology was an epidermal cyst. Conclusion While performing orchiectomy for testicular tumors, sperm retrieval should be attempted from normal tissues in patients planning for children.