Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul (Mar 2021)
Asynchronous Bilateral Testicular Cancer in A Patient with Bilateral Undescended Testicle: A Case Report
Abstract
BACKGROUND AND OBJECTIVE: Testicular cancer is almost the only common genitourinary tract cancer at a young age. One of the risk factors for testicular tumors is undescended testicles. If testicular fixation is corrected in the normal position, the probability of testicular cancer decreases in the undescended testicle before puberty, but it does not disappear, and the patient should be examined for a long time. The purpose of this case report is to introduce a patient who, despite undergoing orchidopexy, has developed asynchronous bilateral testicular cancer, which shows the importance of long-term follow-up in people with a history of undescended testicles. CASE REPORT: The patient was a 54-year-old man with a history of congenital bilateral undescended testicles, infertile, and orchidopexy surgery in childhood and a history of classic seminoma in the left testicle four years ago. Again, in periodic follow-ups and examination of the right testicle, a mass in the right testicle was touched, which showed malignant changes in the ultrasound. Serum levels of testicular markers were normal. According to the sonographic findings, examinations and patient records, the patient underwent radical right testicular orchidectomy. Classic seminoma was reported in the results of right testicle pathology, and in further examinations, no evidence of metastasis was seen. The patient is currently undergoing follow-up and postoperative chemotherapy. CONCLUSION: According to the results of this case reported in patients with intangible testicles, especially bilateral, long-term follow-up is necessary for asynchronous bilateral testicular cancer.
