Open AccessRetroperitoneal extension of massive ulcerated testicular seminoma through the inguinal canal: A case report
Author(s) -
Alessio Antonaci,
Daniela Fasanella,
Vikiela Galica,
Nicola Tinari,
Jamara Giampietro,
Pietro Di Marino,
Andrea Delli Pizzi,
Raffaella Basilico,
Luigi Schips,
Michele Marchioni
Publication year - 2021
Publication title -
archivio italiano di urologia andrologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.429
H-Index - 23
eISSN - 2282-4197
pISSN - 1124-3562
DOI - 10.4081/aiua.2021.1.64
Subject(s) - scrotum , medicine , seminoma , inguinal canal , testicular cancer , orchiectomy , presentation (obstetrics) , abdomen , rare disease , radiology , retroperitoneal space , surgery , radiation therapy , chemotherapy , inguinal hernia , hernia , pathology , disease
Testicular cancers represent about 5% of all urological malignancies and 1-1.5% of all male neoplasms. Most of the testicular cancers are localized (68%) at diagnosis. Bulky masses in the scrotum are rare. We present a rare case of bulky testicular cancer with retroperitoneal spread through the inguinal canal. Case report: A 44-year-old man came to the emergency department referring weakness and the presence of a scrotal mass. At physical examination, a voluminous mass was found, with necrotic phenomena within the scrotum. Abdomen was tense and sore. Abdominal CT scan revealed a bulky testicular mass spreading to the retroperitoneal space through the inguinal canal with node enlargement. Patient underwent orchiectomy with excision of infiltrated scrotum skin. Histologic diagnosis confirmed a typical form seminoma. The patient was then treated with a cisplatin-based chemotherapy, with a partial response. The patient recently relapsed and he is being treated with a new line of chemotherapy and subsequent surgery with or without radiotherapy. Conclusions: We described a rare presentation of testicular cancer. This case highlights the importance of a multidisciplinary approach to rare testis tumour presentation and early diagnosis for testicular cancers.