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.
Akramipour
Reza
R
Department of Pediatrics, Medical School, Kermanshah University of Medical Sciences, Kermanshah, Iran. rezaakramipour@yahoo.com
Zargooshi
Javaad
J
Rahimi
Zohreh
Z
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