title: Spermatocytic seminoma with sarcoma: an indication for adjuvant chemotherapy in localized disease.
abstract: Spermatocytic seminoma (SCS) with sarcoma is an extremely rare testicular tumor with only 11 cases previously described in the literature. We present the 12th case of SCS with sarcoma in a 29-year-old male. SCS itself is an uncommon germ cell tumor with a relatively indolent clinical course that mostly affects males around the fifth decade of life. Sarcomatous differentiation of SCS occurs in 5% to 6% of cases and correlates with a higher possibility of metastatic disease and a poor prognosis. Clinically, this tumor manifests as a slow-growing testicular mass often with an accelerated period of secondary growth. After a concise review of the literature, we conclude that SCS with sarcoma should be treated by radical inguinal orchidectomy with strong consideration given to adjuvant chemotherapy.
authors.affiliation: Department of Urology, University of Melbourne, Austin Hospital, Heidelberg, Australia.
authors.forename: David
authors.initials: D
authors.lastname: Wetherell
authors.affiliation: Department of Urology, University of Melbourne, Austin Hospital, Heidelberg, Australia.
authors.forename: Nathan
authors.initials: N
authors.lastname: Lawrentschuk
authors.affiliation: Department of Urology, University of Melbourne, Austin Hospital, Heidelberg, Australia.
authors.forename: Dennis
authors.initials: D
authors.lastname: Gyomber
keywords: Orchiectomy; Sarcoma; Seminoma; Testicular neoplasms; Testis