[Spleno-gonadal fusion: differential diagnosis of a testicular tumor in an infant].
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.
Laplace
Christophe
C
Service de Chirurgie Infantile, Hôtel Dieu, avenue Vercingétorix, BP 69, 63003 Clermont-Ferrand. laplace.christophe@wanadoo.fr
Savareux
Laurent
L
Stephan
Jean-Louis
JL
Gaspard
François
F
Bouchet
Florence
F
Guy
Laurent
L
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
D000509:alpha-Fetoproteins
Fusion spléno gonadique: diagnostic différentiel de tumeur testiculaire chez le nourrisson.