Infant with concomitant presence of hernia/hydrocele and primary paratesticular neuroblastoma: a diagnostic and therapeutic challenge.
We report an 8-month-old boy with stage 1 neuroblastoma, whose "testicular tumor" was removed during a "radical orchiectomy" by a pediatric surgeon who encountered a scrotal mass during a hernia repair. Pathologic examination of the specimen suggested seminoma and the surgeon sent the patient for cisplatin-based chemotherapy. However, follow-up examination showed a normal testis. Reexamination of the specimen in other laboratories proved neuroblastoma. The patient is tumor free after 36 months of follow-up. This case shows that in presence of hernia, distorted anatomy, and inguinal testis, paratesticular tumors can be misdiagnosed for the testis and cause great diagnostic and therapeutic difficulty.
Department of Pediatrics, Medical School, Kermanshah University of Medical Sciences, Kermanshah, Iran. rezaakramipour@yahoo.com
Reza
R
Akramipour
Javaad
J
Zargooshi
Zohreh
Z
Rahimi
D003951:Diagnostic Errors; D005260:Female; D005834:Genital Neoplasms, Male / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D006552:Hernia, Inguinal / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D009447:Neuroblastoma / Q000150:complications* / Q000473:pathology*; D009919:Orchiectomy; D012611:Scrotum / Q000473:pathology / Q000601:surgery; D006848:Testicular Hydrocele / Q000150:complications* / Q000601:surgery; D013737:Testis / Q000098:blood supply / Q000166:cytology / Q000601:surgery