Testicular seminoma - atypical cystic presentation

Case contributed by Dr Alfredo Enzo Allegro Filho

Presentation

Male patient, 40 years old, healthy, sought medical attention complaining of pain and swelling in the scrotum area after slight motorcycle accident.

Patient Data

Age: 40 years
Gender: Male

Ultrasonography shows hypoechoic, homogeneous, well-defined nodule located in the right testicle, with internal blood flow.

Case Discussion

The case is about a young patient who suffered a motorcycle injury and sought medical assistance, which was evaluated with ultrasound due to complaints of pain and scrotal oedema. He was clinically diagnosed with a nodule in the right testicle . In this context, physicians should be careful to differentiate between focal traumatic / inflammatory and neoplastic lesions, in which the characteristics of echotexture, shape, interface with the adjacent parenchyma and Doppler flow may help in diagnosis. It isn't an unusual form of diagnosis, these lesions are usually asymptomatic in less advanced stages, often discovered in examination performed for other reasons, including trauma. The patient didn't have metastatic lesions. The diagnosis was confirmed by histology after orchidectomy.

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Case information

rID: 31208
Case created: 24th Sep 2014
Last edited: 13th Mar 2016
System: Urogenital
Inclusion in quiz mode: Included

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