| Summary: | <p>Seminoma is a rare, slow-growing testicular neoplasm that may or may not be accompanied by pain. It is common in senior citizens and very rare in young people. There are several risk factors such as family history, cryptorchidism, gonadal dysgenesis, infertility, testicular atrophy and scrotal trauma, among others. This study presents the case of a 24-year-old, white, male patient who came to the medical practice due to a two-month-progress diffuse volume increase of the left testis, accompanied by moderate pain that was exacerbated by physical exertion and on palpation. Taking into consideration the symptomatology it was treated as acute orchiepididymitis, without any clinical improvement after ten days of treatment. Analytic lab tests, tumoral serous markers and radiological studies were ordered. Due to a suspected testicular tumor a radical left orchiectomy was performed. The diagnosis of classic seminoma was confirmed, with invasion to the rete testis and epididymis tail associated with testicular atrophy and left varicocele. The patient progressed favorably.<strong></strong></p>
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