SavedAdd your journal

Journals / Üroloji Bülteni / 2003 / Cilt: 14 - Sayı: 2

Two occult cases of testicular tumor presenting with abdominal mass

Karında kitle ile başvuran iki okkült testis tümörü olgusu

Ayhan DİRİM
M. İlteriş TEKİN
Cem AYGÜN
Levent PEŞKİRCİOĞLU
Beyhan DEMİRHAN
Hakan ÖZKARDEŞ
Pages
108–112
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Both patients are cur-rently infollowup with no evidence of disease.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Two cases with metastatic testis cancer despite normal testicles on physical examination were reviewed.
📊
Key Findings & Data:Intratesticular minute lesions and retroperitoneal masses were found by uhrasonography in two patients at the ages of 22 and 35 who presented with abdominal mass and flank pain despite normal testicles on examination.
💡
Conclusion & Impact:Both patients are cur-rently infollowup with no evidence of disease.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Testis neoplazmları · Skrotum · Antineoplastik protokoller

Abstract

Two cases with metastatic testis cancer despite normal testicles on physical examination were reviewed. Intratesticular minute lesions and retroperitoneal masses were found by uhrasonography in two patients at the ages of 22 and 35 who presented with abdominal mass and flank pain despite normal testicles on examination. Histopathological examination of the orchiectomy specimens revealed mature teratoma in one case and seminoma in the other. Residual masses after chemotherapy were man-aged with radiotherapy in the seminoma case and with postchemotherapy surgery in the teratoma case. Both patients are cur-rently infollowup with no evidence of disease.

Özet

Testis muayeneleri normal olduğu halde metastatik testis kanseri tanısı konan iki olgu gözden geçirilmiştir. Karında kitle ve yan ağrısı nedeniyle başvuran testis muayeneleri normal iken radyolojik incelemelerinde retroperitoneal kitle saptanan yaşlan 22 ile 35 olan iki hastada- skrotal ultrasonografi ile intratestiküler küçük lezyonlar saptandı. Orşiyektomi spesimenlerinin histopatolojik incelemesinde bir hastada mattır teratom diğerinde seminom tanısı kondu. Kemoterapi sonrası retroperitoneal rezidüel kitlesi kalan seminomlu olguya radyoterapi, matür teratomlu olguya postkemoterapi cerrahi uygulandı. Hastalar halen hastalıksız olarak izlemdedir.

🔖

Cite This Article

DİRİM, A., TEKİN, M. İ., AYGÜN, C., PEŞKİRCİOĞLU, L., DEMİRHAN, B., ÖZKARDEŞ, H. (2003). Two occult cases of testicular tumor presenting with abdominal mass. Üroloji Bülteni, Cilt: 14 - Sayı: 2, 108–112. https://ajindex.com/articles/338754

References (17)

  1. Richie JP. Detection and treatment of testicular cancer. CA Cancer J Clin, 43:151,1993
  2. Weaver DJ, Havey AD, Weinstein SH et al. Nonpalpable occult testis tumor: case report. Urology, 34: 218,1989
  3. Richie JP: Neoplasms of the Testis. Campbell's Urology (Walsh PC, Retik AB, Vaughan ED, Wein AJ, ed). Seventh edition. Philadelphia, Saunders. Vol 3, 2411-2452,1998
  4. Kirschling RJ, Kvols LK, Charboneau JW et al. High-resolution ultrasonographic and pathologic abnormalities of germ cell tumors in patients with clinically normal testes. Mayo Clin Proc, 58: 648, 1983
  5. Rosenfield AT, Hammers LW. Imaging of the testicle: the painful scrotum and nonpalpable masses. Urol Radiol, 14: 229,1992
  6. Nachtsheim DA, Scheible FW, Gosink B. Ultrasonography of testis tumors. J Urol, 129: 978,1983
  7. Glazer HS, Lee JKT, Melson GL et al. Sonographic detection of occult testicular neoplasms. Am J Roentgenol, 138: 673,1982
  8. Benson CB. The role of ultrasound in diagnosis and staging of testicular cancer. Semin Urol, 6:189,1988
  9. Comiter CV, Benson CJ, Capelouto CC et al. Non-palpable intratesticular masses detected sonograp-hically. J Urol, 154: 1367,1995
  10. Horstman WG, Haluszka MM, Burkhard TK. Management of testicular masses incidentally discove¬red by ultrasound. J Urol, 151: 1263,1994
  11. Coret A, Leibovitch I, Heyman Z et al. Ultrasonog-raphic evaluation and clinical correlation of intratesticular lesions: a series of 39 cases. Br J Urol, 76: 216,1995
  12. Hopps CV, Goldstein M. Ultrasound guided needle localization and microsurgical exploration for incidental nonpalpable testicular tumors. J Urol, 168: 1084, 2002 13. Elert A, Olbert P, Hegele A et al. Accuracy of frozen section examination of testicular tumors of uncertain origin. Eur Urol, 41: 290, 2002
  13. Gross GW, Rohner TJ, Lombard JS et al. Metastatic seminoma with regression of testicular primary: ultrasonographic detection. J Urol, 136:1086,1986
  14. Lopez JI, Angulo JC. Burned out tumour of the testis presenting as retroperitoneal choriocarcinoma. Int Urol Nephrol, 26: 549,1994
  15. Böhle A, Studer UE, Sonntag RW et al. Primary or secondary extragonadal germ cell tumors? J Urol, 135: 939,1986
  16. Shawker TH, Javadpour N, O'Leary T et al: Ultrasonographic detection of "burned-out" primary testicular germ cell tumors in clinically normal testes. J Ultrasound Med, 2: 477, 1983
  17. Krag Jacobsen G, Barlebo H, Olsen J et al. Testicular germ cell tumours in Denmark 1976-1980. Pathology of 1058 co