Presentation
Married. Adopted child. Right groin mass. Initially thought to be a hernia.
Patient Data
Age: 40 years
Gender: Male
From the case:
Inguinal testicular tumor in an undescended testis
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Irregular solid-cystic mass in the right inguinal canal with morphology of a testis.
Smaller testis in the left inguinal region.
Bulky right sided iliac lymphadenopathy.
From the case:
Inguinal testicular tumor in an undescended testis
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Large tumor replacing most of the right testis.
Normal left testis.
From the case:
Inguinal testicular tumor in an undescended testis
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The histopathlogical report for the surgical specimen.
Case Discussion
Rarely do bilateral undescended testes present in middle age.
A strong association is recognized between undescended testes and a higher incidence of malignancy.
Locoregional nodes, lungs and liver are the typical sites for metastatic disease.