A lesson in the management of testicular cancer in a patient with a solitary testis.
Five per cent of patients with germ cell tumours of the testis will develop a further tumour in the contralateral testis. Standard treatment in such cases is a second orchidectomy, resulting in infertility, hormone replacement, and psychological morbidity. In this case report we explore the role of testis conservation in these patients and also show that there is a risk of removing a potentially normal testis if a histological diagnosis is not sought prior to orchidectomy.
Sawyer
E J
EJ
Meyerstein Institute of Oncology, Middlesex Hospital, London, UK.
Oliver
R T
RT
Tobias
J S
JS
Badenoch
D F
DF
D000328:Adult; D001284:Atrophy; D002278:Carcinoma in Situ / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D018237:Germinoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009919:Orchiectomy / Q000379:methods*; D013736:Testicular Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D013737:Testis / Q000473:pathology*; D014463:Ultrasonography