Retroperitoneal extension of massive ulcerated testicular seminoma through the inguinal canal: A case report.

Testicular cancers represent about 5% of all urological malignancies and 1-1.5% of all male neoplasms. Most of the testicular cancers are localized (68%) at diagnosis. Bulky masses in the scrotum are rare.

We present a rare case of bulky testicular cancer with retroperitoneal spread through the inguinal canal.

A 44-year-old man came to the emergency department referring weakness and the presence of a scrotal mass. At physical examination, a voluminous mass was found, with necrotic phenomena within the scrotum. Abdomen was tense and sore. Abdominal CT scan revealed a bulky testicular mass spreading to the retroperitoneal space through the inguinal canal with node enlargement. Patient underwent orchiectomy with excision of infiltrated scrotum skin. Histologic diagnosis confirmed a typical form seminoma. The patient was then treated with a cisplatin-based chemotherapy, with a partial response. The patient recently relapsed and he is being treated with a new line of chemotherapy and subsequent surgery with or without radiotherapy.

We described a rare presentation of testicular cancer. This case highlights the importance of a multidisciplinary approach to rare testis tumour presentation and early diagnosis for testicular cancers.

Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica. 2021 Mar 19*** epublish ***

Alessio Antonaci, Daniela Fasanella, Vikiela Galica, Nicola Tinari, Jamara Giampietro, Pietro Di Marino, Andrea Delli Pizzi, Raffaella Basilico, Luigi Schips, Michele Marchioni

Department of Medical, Oral and Biotechnological Sciences, G. d'Annunzio University of Chieti, Urology Unit, SS. Annunziata Hospital, Chieti. ., Department of Medical, Oral and Biotechnological Sciences, G. d'Annunzio University of Chieti, Urology Unit, SS. Annunziata Hospital, Chieti. ., Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila "San Salvatore" Hospital, L'Aquila. ., Department of Medical, Oral and Biotechnological Sciences and Center for Advance Studies and Technology (CAST), G. D'Annunzio University of Chieti. ., Clinical Oncology Unit, SS Annunziata Hospital, Chieti. ., Clinical Oncology Unit, SS Annunziata Hospital, Chieti. ., Department of Neuroscience, Imaging and Clinical Sciences, G. d'Annunzio University of Chieti, Chieti. ., Department of Neuroscience, Imaging and Clinical Sciences, G. d'Annunzio University of Chieti, Chieti. ., Department of Medical, Oral and Biotechnological Sciences, G. d'Annunzio University of Chieti, Urology Unit, SS. Annunziata Hospital, Chieti. ., Department of Medical, Oral and Biotechnological Sciences, G. d'Annunzio University of Chieti, Urology Unit, SS. Annunziata Hospital, Chieti. .

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