Incidental seminoma in nonobstructive azoospermia: a case report
Jonathan Gal, MD,
Juan Miguel Mosquera, MD, MSc,
Brian D. Robinson, MD,
Peter N. Schlegel, MD
Affiliations
Jonathan Gal, MD
Department of Urology, Weill Cornell Medicine, New York, New York; Correspondence: Jonathan Gal, MD, Department of Urology, Weill Cornell Medicine, 525 East 68th Street, Starr 900, New York, New York 10065.
Juan Miguel Mosquera, MD, MSc
Department of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, New York; Englander Institute for Precision Medicine, Weill Cornell Medicine, New York, New York
Brian D. Robinson, MD
Department of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, New York
Peter N. Schlegel, MD
Department of Urology, Weill Cornell Medicine, New York, New York
Objective: To report on the incidental finding of invasive seminoma in a patient with nonobstructive azoospermia during microdissection testicular sperm extraction. Design: Case report. Patient(s): A single patient diagnosed with nonobstructive azoospermia underwent microdissection testicular sperm extraction, and an incidental finding of invasive seminoma was made upon histopathological analysis. Result(s): An incidental discovery of invasive seminoma was observed in the sample pathology obtained during the microdissection testicular sperm extraction. Consequently, the patient underwent further diagnostic workup and a radical orchiectomy. Conclusion(s): Men with male factor infertility are at increased risk of testicular cancer. As such, it is imperative to incorporate a thorough physical examination and relevant imaging into their diagnostic process. Additionally, it is advisable to include histopathological analysis for all individuals undergoing microdissection testicular sperm extraction.
