[Bilaterally synchronous mixed germ cell testicular tumor].
OBJECTIVE
To report an uncommon case of bilateral synchronous mixed testicular germ cell tumor.


METHODS
A young male had consulted at our urological services for a unilateral enlarged testis. A testicular tumor was suspected; scrotal US was performed, testicular tumor markers were determined and complementary studies to determine tumor extension were performed.


RESULTS
The US findings suggested a chronic inflammatory condition with bilateral diffuse infiltration, tuberculosis was discarded and bilateral testicular tumor was suspected, which was confirmed by bilateral intraoperative biopsy. A bilateral radical orchidectomy was performed. Adjuvant chemotherapy with cisplatin, VP-16 and bleomycin was administered after bilateral radical orchidectomy due to the attending risk factors for tumor recurrence. The patient is disease-free one year postoperatively.


CONCLUSIONS
Bilateral synchronous testicular germ cell tumors are rare. Scrotal US is a simple, noninvasive and efficient diagnostic imaging method; however, it does not provide pathognomonic images that could indicate the histological nature of the tumor.
Servicio de Urología, Hospital Regional Infanta Cristina, Badajoz, España.
C
C
Cuervo Pinna
J P
JP
Rodríguez Rincón
A
A
Abengozar García-Moreno
J
J
Cabello Padial
J
J
Murillo Mirat
M
M
Sevilla Zabaleta
L
L
Fernández de Alarcón
D000328:Adult; D003131:Combined Modality Therapy; D006801:Humans; D008297:Male; D009373:Neoplasms, Germ Cell and Embryonal / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D013736:Testicular Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery