title: Surgical approach of giant testicular cancer. Case report and literature review.
abstract: Testicular cancer, which generally presents as a scrotal mass of variable sizes, is amongst the most common malignancies in men in the 15- to 35- year age group. A high inguinal orchiectomy is the standard approach for removal of a scrotal mass suspicious of being malignant. A recent report described a combined use of an inguinal incision, for early clamping of the spermatic cord, and a scrotal incision for orchiectomy of a large size testicular seminoma. We hereby report a case of a large size testis cancer removed using a single oblique inguinoscrotal incision. This approach allows inguinal delivery of a large size of scrotal mass without additional concerns of scrotal tumor spillage and violation of tunica vaginalis.
authors.affiliation: Department of Urology, Royal Victoria Hospital, McGill University Health Centre, 687 Pine West, Montreal, Quebec H3A 1A1, Canada.
authors.forename: Mana
authors.initials: M
authors.lastname: Al-Assiri
authors.forename: Zorn
authors.initials: Z
authors.lastname: Kevin
authors.forename: Saleh
authors.initials: S
authors.lastname: Binsaleh
authors.forename: Peter T K
authors.initials: PT
authors.lastname: Chan
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D009919:Orchiectomy / Q000379:methods*; D018239:Seminoma / Q000601:surgery*; D013736:Testicular Neoplasms / Q000601:surgery*