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Management of supernumerary testis in an adult: case report and review
Author(s) -
Nayak S. P.,
Sreejayan M. P.
Publication year - 2011
Publication title -
andrologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.633
H-Index - 59
eISSN - 1439-0272
pISSN - 0303-4569
DOI - 10.1111/j.1439-0272.2009.01026.x
Subject(s) - malignancy , medicine , supernumerary , inguinal hernia , incidence (geometry) , biopsy , histopathological examination , surgery , hernia , pathology , anatomy , physics , optics
Summary Polyorchidism is a rare congenital anomaly. Approximately 100 cases have been published to date. We report a case of triorchidism in a 20‐year‐old man who presented to us with inguinal hernia. There is more than 30% incidence of histological abnormalities in polyorchid testes and 4–7% present with malignancy. The management of polyorchidism is controversial. Some authors prefer conservative approach to increase the chances of spermatogenesis and others suggest excision to prevent malignancy. In our case, a biopsy of the testes was performed and was found to be normal. This patient was placed on follow‐up with regular self examination, six monthly clinical examination and yearly scrotal sonogram.