title: [Bilateral synchronic testicular tumor with germ cell intratubular neoplasia foci: case report].
abstract: OBJECTIVE
  To report one case of bilateral synchronic testicular tumor with germ cell intratubular neoplasia foci affecting both testicles.
  
  
  METHODS
  We describe the case of a 29-year-old male presenting with a painless tumor in the left testicle for a month. With the suspect of testicular tumor scrotal ultrasound, tumor markers and extension study to rule out metastasis were performed.
  
  
  RESULTS
  Ultrasound showed a hypertrophic left testicle with a lesion suspect for neoplasia, and incidental diagnosis of a hypoechoic lesion with augmented Doppler flow within the right testicle. Bilateral orchyectomy was performed with the pathologic diagnosis of classic seminoma with germ cell intratubular neoplasia foci in both testicles. Treatment was completed with two cycles of chemotherapy.
  
  
  CONCLUSIONS
  Bilateral synchronic testicular tumors are very rare. The most frequent histological type is classic seminoma. The diagnosis and treatment are similar to unilateral testicular tumors except certain cases in which partial excision of the testicle may be considered.
authors.affiliation: Servicio de Urología, Hospital Universitario Doctor Peset, Valencia, España. jorge_planelles@yahoo.es
authors.forename: Jorge
authors.initials: J
authors.lastname: Planelles Gómez
authors.forename: Aleixandre
authors.initials: A
authors.lastname: Vergés Prósper
authors.forename: Ignacio
authors.initials: I
authors.lastname: Rubio Tortosa
authors.forename: Manel
authors.initials: M
authors.lastname: Beamud Cortés
authors.forename: Teresa
authors.initials: T
authors.lastname: Pastor Navarro
authors.forename: José Ramón
authors.initials: JR
authors.lastname: Beltrán Armada
authors.forename: Carlos
authors.initials: C
authors.lastname: San Juan de Laorden
mesh_terms: D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001284:Atrophy; D016190:Carboplatin / Q000008:administration & dosage; D003131:Combined Modality Therapy; D006801:Humans; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D009919:Orchiectomy; D012074:Remission Induction; D018239:Seminoma / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D013736:Testicular Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D013737:Testis / Q000473:pathology
chemical_list: D016190:Carboplatin