35 year old scrotal pain.
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In the upper pole of left testes there is 1.6 cm hypoechoic mass with two smaller nodules immediately adjacent to this, without evidence of extension through the capsule. Bilateral microlithiasis.
Histology confirmed this was a seminoma, classic type, with associated scar, confined to the testis, Stage pT1.
Seminomas are usually a well defined homogeneous hypoechoic mass which can be multifocal. Seminomas account for approximately 40% of germ cell testicular tumours and have a peak incidence in males during the 4th and 5th decades.