title: Torsion of a neoplastic intrascrotal testis: when the torsion reveals the mass. A case report and review.
abstract: Cases of torsion of the spermatic cord are rare in men over 30-years-old. Testicular tumors manifest themselves rarely with symptoms of acute scrotum. We report the case of a 38-years-old patient who presented for a suspected left testis torsion. On examination, the testicle was markedly increased in size and painful. The manual derotation made pain dramatically disappear. He came to our attention after about a month asking for an orchidopexy. During the surgery a biopsy was performed. The diagnosis was a Yolk Sac Tumor. A radical inguinal orchiectomy was performed with left hemiscrotal excision, "in block". He performed four cycles of chemotherapy and with no recurrence after 12 months of follow-up. In literature only seven cases of torsion of an intrascrotal testicle with cancer are reported. Our case is the eighth one.
authors: U.O. di Urologia, Ospedale L. Bonomo, Andria, ASL BAT, Italy. peppealbino@hotmail.com
authors: Giuseppe
authors: G
authors: Albino
authors: Rosanna
authors: R
authors: Nenna
authors: Antonio
authors: A
authors: Corvasce
authors: Ettore Cirillo
authors: EC
authors: Marucco
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D013086:Spermatic Cord Torsion / Q000209:etiology*; D013736:Testicular Neoplasms / Q000150:complications* / Q000175:diagnosis*