[Spermatocytic seminoma with rhabdomyosarcomatous contingent].
BACKGROUND
Spermatocytic seminoma is a relatively rare testicular tumour, not associated with another germ-cell tumour component and characterized by a favourable prognosis. However, discovery of a sarcomatous contingent modifies the prognosis.


METHODS
The authors report the case of a 50-year-old man with a history of right testicular swelling for 4 years, gradually increasing in size without vaginal effusion. Tumour markers were normal. Ultrasound demonstrated a very large semi-solid semi-cystic testicular mass with a long axis of 14 cm. Orchidectomy was performed.


RESULTS
Histological examination and immunohistochemistry of the orchidectomy specimen concluded on spermatocytic seminoma associated with a rhabdomyosarcomatous component.


CONCLUSIONS
Only 12 cases of spermatocytic seminoma with sarcomatous component have been reported in the literature The presence of a sarcomatous component confers a very poor prognosis to spermatocytic seminoma.
Chelly
Inès
I
Service d'Anapatomologie, Hôpital La Rabta, Tunis, Tunisie.
Mekni
Amina
A
Gargouri
Mohamed Mrad
MM
Bellil
Khadija
K
Zitouna
Moncef
M
Horchani
Ali
A
Kchir
Nidhameddine
N
D006801:Humans; D008297:Male; D008875:Middle Aged; D012208:Rhabdomyosarcoma / Q000473:pathology; D018239:Seminoma / Q000473:pathology* / Q000601:surgery; D013736:Testicular Neoplasms / Q000473:pathology* / Q000601:surgery