Asymptomatic testicular malignancy in intra-abdominal testis

Tariq Hameed; Sudhir Kumar Jain; Adiba Nizam; Mohak Singh

Volume : VIII, Issue : XI, November - 2019

Asymptomatic testicular malignancy in intra-abdominal testis

Tariq Hameed, Sudhir Kumar Jain, Adiba Nizam, Mohak Singh

Abstract :

Background Testicular malignancy is rare in young adults and incidence increases with age. Individuals with cryptorchidism or undescended testis have a high potential of turning into malignant tumors. Case Presentation A 30 years asymptomatic male presented to surgery OPD for absence of both testis in scrotum. Investigations confirmed that both testis were intra–abdominal with right being atrophic and left enlarged. Biochemical laboratory investigations along with tumor markers– AFP, �–Hcg and LDH were within normal range. Laparoscopic bilateral orchidectomy was perfomed and on histopathological examination seminoma was reported in left testis which was contained in the capsule. Conclusions Young adult patients with undescended testis, even if asymptomatic should be advised orchidectomy as chances of malignant transformation are high. For non metastatic tumor regular follow up and monitoring of tumor markers is advised.