Abstract

PLANELLES GOMEZ, Jorge et al. Bilateral synchronic testicular tumor with germ cell intratubular neoplasia foci: case report. Arch. Esp. Urol. [online]. 2007, vol.60, n.2, pp.205-207. ISSN 0004-0614.

Objective: To report one case of bilateral synchronic testicular tumor with germ cell intratubular neoplasia foci affecting both testicles. Methods: We describe the case of a 29-year-old male presenting with a painless tumor in the left testicle for a month. With the suspect of testicular tumor scrotal ultrasound, tumor markers and extension study to rule out metastasis were performed. Results: Ultrasound showed a hypertrophic left testicle with a lesion suspect for neoplasia, and incidental diagnosis of a hypoechoic lesion with augmented Doppler flow within the right testicle. Bilateral orchyectomy was performed with the pathologic diagnosis of classic seminoma with germ cell intratubular neoplasia foci in both testicles. Treatment was completed with two cycles of chemotherapy. Conclusions: Bilateral synchronic testicular tumors are very rare. The most frequent histological type is classic seminoma. The diagnosis and treatment are similar to unilateral testicular tumors except certain cases in which partial excision of the testicle may be considered.

Keywords : Testicular neoplasia; Bilateral. Synchronic; Germs cell intratubular neoplasia.

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