Intra-abdominal seminoma found incidentally during trauma workup in a man with bilateral cryptorchidism

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 h...

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Main Authors: Danielle Velez, Philip Zhao, Tina Mayer, Eric Singer
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Urology Annals
Subjects:
Online Access:http://www.urologyannals.com/article.asp?issn=0974-7796;year=2015;volume=7;issue=4;spage=534;epage=536;aulast=Velez
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author Danielle Velez
Philip Zhao
Tina Mayer
Eric Singer
author_facet Danielle Velez
Philip Zhao
Tina Mayer
Eric Singer
author_sort Danielle Velez
collection DOAJ
description 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.
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spelling doaj.art-4cfcf9f8a0664cc9b6d1a65b423fe0c12022-12-21T22:08:23ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342015-01-017453453610.4103/0974-7796.162220Intra-abdominal seminoma found incidentally during trauma workup in a man with bilateral cryptorchidismDanielle VelezPhilip ZhaoTina MayerEric SingerBilateral 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.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2015;volume=7;issue=4;spage=534;epage=536;aulast=VelezCryptorchidismincidental findingseminomatesticular cancertrauma
spellingShingle Danielle Velez
Philip Zhao
Tina Mayer
Eric Singer
Intra-abdominal seminoma found incidentally during trauma workup in a man with bilateral cryptorchidism
Urology Annals
Cryptorchidism
incidental finding
seminoma
testicular cancer
trauma
title Intra-abdominal seminoma found incidentally during trauma workup in a man with bilateral cryptorchidism
title_full Intra-abdominal seminoma found incidentally during trauma workup in a man with bilateral cryptorchidism
title_fullStr Intra-abdominal seminoma found incidentally during trauma workup in a man with bilateral cryptorchidism
title_full_unstemmed Intra-abdominal seminoma found incidentally during trauma workup in a man with bilateral cryptorchidism
title_short Intra-abdominal seminoma found incidentally during trauma workup in a man with bilateral cryptorchidism
title_sort intra abdominal seminoma found incidentally during trauma workup in a man with bilateral cryptorchidism
topic Cryptorchidism
incidental finding
seminoma
testicular cancer
trauma
url http://www.urologyannals.com/article.asp?issn=0974-7796;year=2015;volume=7;issue=4;spage=534;epage=536;aulast=Velez
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AT philipzhao intraabdominalseminomafoundincidentallyduringtraumaworkupinamanwithbilateralcryptorchidism
AT tinamayer intraabdominalseminomafoundincidentallyduringtraumaworkupinamanwithbilateralcryptorchidism
AT ericsinger intraabdominalseminomafoundincidentallyduringtraumaworkupinamanwithbilateralcryptorchidism