Open AccessIntra-abdominal seminoma found incidentally during trauma workup in a man with bilateral cryptorchidism
Author(s) -
Danielle Velez,
Philip Zhao,
Tina Mayer,
Eric A. Singer
Publication year - 2015
Publication title -
urology annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/0974-7796.162220
Subject(s) - medicine , seminoma , etoposide , bleomycin , cisplatin , testicular cancer , dissection (medical) , chemotherapy , orchiopexy , retroperitoneal lymph node dissection , germ cell tumors , surgery , lymph , lymph node , abdominal trauma , radiology , blunt , pathology
Bilateral cryptorchidism is a rare occurrence and seminoma is the most common germ cell tumor found in undescended testes when they occur. We present the case of a patient with bilateral cryptorchidism who presented to our trauma center after a motor vehicle collision and was found incidentally to have a 17-cm intra-abdominal mass. The mass was subsequently biopsied and proven to be seminoma. The patient completed three cycles of bleomycin/etoposide/cisplatin chemotherapy and successfully underwent a postchemo retroperitoneal lymph node dissection with no viable residual tumor or positive lymph nodes found in the surgical specimen. He also had an orchiopexy of the contralateral testicle. The patient recovered fully and has been found to be recurrence-free four months postoperatively. We highlight the importance of cisplatin-based chemotherapy and extensive tumor resection as the mainstay of initial cancer control.