Bilateral metachronous testicular seminoma.
BACKGROUND
A 33-year-old male presented to hospital with a painless right testicular mass measuring 2 x 3 cm and no systemic symptoms. The patient had no relevant medical history. CT and blood tests did not reveal metastasis and the patient was treated with a right inguinal orchiectomy and radiotherapy. After 4 years a routine follow-up examination revealed a 1 cm palpable mass in the left testis.


METHODS
CT, tumor marker assessment, scrotal ultrasonography, Doppler ultrasound examination, and biopsy.


METHODS
Bilateral metachronous testicular seminoma, stage pT1N0M0S0.


RESULTS
Radiotherapy, radical orchiectomy, bilateral placement of testicular prostheses, androgen substitution therapy, regular follow-up assessment.
Department of Urology, Faculty of Medicine, University of Trakya, Edirne, Turkey.
Mustafa
M
Kaplan
Eric A
EA
Klein
D000328:Adult; D006801:Humans; D008297:Male; D018239:Seminoma / Q000473:pathology*; D013736:Testicular Neoplasms / Q000473:pathology*