title: Intra-abdominal seminoma found incidentally during trauma workup in a man with bilateral cryptorchidism.
abstract: Bilateral cryptorchidism is a rare occurrence and seminoma is the most common germ cell tumor found in undescended testes when they occur. We present the case of a patient with bilateral cryptorchidism who presented to our trauma center after a motor vehicle collision and was found incidentally to have a 17-cm intra-abdominal mass. The mass was subsequently biopsied and proven to be seminoma. The patient completed three cycles of bleomycin/etoposide/cisplatin chemotherapy and successfully underwent a postchemo retroperitoneal lymph node dissection with no viable residual tumor or positive lymph nodes found in the surgical specimen. He also had an orchiopexy of the contralateral testicle. The patient recovered fully and has been found to be recurrence-free four months postoperatively. We highlight the importance of cisplatin-based chemotherapy and extensive tumor resection as the mainstay of initial cancer control.
authors.affiliation: Department of Surgery, Division of Urology, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
authors.forename: Danielle
authors.initials: D
authors.lastname: Velez
authors.affiliation: Department of Surgery, Division of Urology, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
authors.forename: Philip
authors.initials: P
authors.lastname: Zhao
authors.affiliation: Section of Medical Oncology, Rutgers-Cancer Institute of New Jersey, New Brunswick, NJ, USA.
authors.forename: Tina
authors.initials: T
authors.lastname: Mayer
authors.affiliation: Section of Urologic Oncology, Rutgers-Cancer Institute of New Jersey, New Brunswick, NJ, USA.
authors.forename: Eric
authors.initials: E
authors.lastname: Singer
keywords: Cryptorchidism; incidental finding; seminoma; testicular cancer; trauma