Inguinal testicular tumour in an undescended testis

Case contributed by Dr Ian Bickle


Married. Adopted child. Right groin mass. Initially thought to be a hernia.

Patient Data

Age: 40
Gender: Male

Irregular solid-cystic mass in the right inguinal canal with a morphology of a testicle.

Smaller testicle in the left inguinal region.

Bulky right sided iliac lymphadenopathy.

Large tumour replacing most of the right testicle.

Normal left testicle.

The histopathlogical report for the surgical specimen.

Case Discussion

Rarely do bilateral undescended testicles present in middle age.

A strong association is recognised between undescending testicles and a higher incidence of malignancy.

Locoregional nodes, lungs and liver are the typical sites for metastatic disease.

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Case information

rID: 39193
Case created: 25th Aug 2015
Last edited: 17th Jun 2017
System: Urogenital
Inclusion in quiz mode: Included

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