title: Three primary testicular tumours: Trials and tribulations of testicular preservation.
abstract: Balancing recurrence risk, side effects and patient preference in the treatment of multiple metachronous testicular tumours can be challenging. We present the case of a young male patient who developed 3 different primary testicular neoplasms over an 8-year period, each associated with retroperitoneal lymphadenopathy requiring chemotherapy. The first tumour at age 19 was managed with radical orchiectomy. Four years later, a partial orchiectomy was performed to remove 2 small lesions. Another 4 years later, a complete orchiectomy was required for an additional tumour. This case highlights the caveats of testis-sparing surgery for testis cancer and the need for careful surveillance in these patients.
authors.affiliation: Department of Urologic Sciences, University of British Columbia, Vancouver, BC;
authors.forename: Connor M
authors.initials: CM
authors.lastname: Forbes
authors.affiliation: Department of Urologic Sciences, University of British Columbia, Vancouver, BC;
authors.forename: Charles
authors.initials: C
authors.lastname: Metcalfe
authors.affiliation: Department of Medical Oncology, Vancouver Cancer Centre, BC Cancer Agency, University of British Columbia, Vancouver, BC.
authors.forename: Nevin
authors.initials: N
authors.lastname: Murray
authors.affiliation: Department of Urologic Sciences, University of British Columbia, Vancouver, BC;
authors.forename: Peter C
authors.initials: PC
authors.lastname: Black