title: [Spleno-gonadal fusion: differential diagnosis of a testicular tumor in an infant].
abstract: The authors report the case of a one-year-old infant in whom routine examination by the paediatrician demonstrated left testicular swelling. Subsequent assessment (scrotal ultrasound and laboratory tests) revealed only a moderate increase of alpha-foetoprotein levels. Orchidectomy was performed due to a suspicion of vitelline tumour. Histological examination revealed splenogonadal fusion. In the light of this case, the authors discuss the modalities of early diagnosis of this embryonic anomaly for which orchidectomy appears to be excessive, even when the testicular parenchyma has an immature appearance.
authors.affiliation: Service de Chirurgie Infantile, Hôtel Dieu, avenue Vercingétorix, BP 69, 63003 Clermont-Ferrand. laplace.christophe@wanadoo.fr
authors.forename: Christophe
authors.initials: C
authors.lastname: Laplace
authors.forename: Laurent
authors.initials: L
authors.lastname: Savareux
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Stephan
authors.forename: François
authors.initials: F
authors.lastname: Gaspard
authors.forename: Florence
authors.initials: F
authors.lastname: Bouchet
authors.forename: Laurent
authors.initials: L
authors.lastname: Guy
mesh_terms: D006801:Humans; D007223:Infant; D008297:Male; D009919:Orchiectomy; D013154:Spleen / Q000473:pathology; D013733:Testicular Diseases / Q000209:etiology*; D013736:Testicular Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D014463:Ultrasonography; D000509:alpha-Fetoproteins
chemical_list: D000509:alpha-Fetoproteins
vernacular_title: Fusion spléno gonadique: diagnostic différentiel de tumeur testiculaire chez le nourrisson.