Testicular multifocal seminoma

Case contributed by Dr Yair Glick

Presentation

Gradual, painless testicular swelling.

Patient Data

Age: 35 years
Gender: Male
Ultrasound

The scrotum and tunicae appear preserved. Tiny scrotolith on the right.

The right testis is of normal size and echotexture. Normal arterial flow.

The left testis is mildly enlarged by several hypoechoic structures (at least three), the largest of which measures 15 x 21 mm. Arterial flow is mildly increased.

Both the epididymides appear normal. Tiny cyst in the head of the left epididymis.

No evidence of hydrocele or varicocele.

Case Discussion

Several hypoechoic masses in the left testicle, most probably a primary tumor (multifocal seminoma).

The testis was removed but no pathology report is available.

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Case information

rID: 73684
Published: 18th Jan 2020
Last edited: 19th Jan 2020
Inclusion in quiz mode: Included
Institution: Laniado Hospital

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