title: Unresolved abdominal mass.
abstract: A case of huge enhancing solid mass in the abdomen observed in 30 years old gentleman is reported. Patient was worked up and managed conservatively outside valley with the provisional diagnosis of an appendicular lump. When examined, he was found to have huge intra abdominal mass. Interestingly when the genitalia was examined he was found to have underdeveloped empty scrotum without testes in it which he was yet not bothered. This simple examination gave us a straight clue to come up with the diagnosis of malignancy in undescended testes. Laparotomy was performed and the mass was excised. After 6 weeks postoperatively he was subjected for the chemotherapy. After 3 cycles of chemotherapy CT scan showed complete disappearance of retroperitoneal lymphadenopathy and serum tumor markers have come down to normal level.
authors.affiliation: Section of Urology, B and B Kathmandu University Hospital, Gwarko, Nepal. drbinshrestha@yahoo.com
authors.forename: B
authors.initials: B
authors.lastname: Shrestha
authors.forename: J L
authors.initials: JL
authors.lastname: Baidya
mesh_terms: D000328:Adult; D000970:Antineoplastic Agents / Q000627:therapeutic use; D003456:Cryptorchidism / Q000175:diagnosis; D006801:Humans; D008297:Male; D018239:Seminoma / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D013736:Testicular Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D000970:Antineoplastic Agents