[Bilateral synchronic testicular tumor with germ cell intratubular neoplasia foci: case report].
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.
Planelles Gómez
Jorge
J
Servicio de Urología, Hospital Universitario Doctor Peset, Valencia, España. jorge_planelles@yahoo.es
Vergés Prósper
Aleixandre
A
Rubio Tortosa
Ignacio
I
Beamud Cortés
Manel
M
Pastor Navarro
Teresa
T
Beltrán Armada
José Ramón
JR
San Juan de Laorden
Carlos
C
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
D016190:Carboplatin