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Bilateral metachronous testicular seminoma

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From Nature Clinical Practice Urology

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Abstract

Background A 33-year-old male presented to hospital with a painless right testicular mass measuring 2 × 3 cm and no systemic symptoms. The patient had no relevant medical history. CT and blood tests did not reveal metastasis and the patient was treated with a right inguinal orchiectomy and radiotherapy. After 4 years a routine follow-up examination revealed a 1 cm palpable mass in the left testis.

Investigations CT, tumor marker assessment, scrotal ultrasonography, Doppler ultrasound examination, and biopsy.

Diagnosis Bilateral metachronous testicular seminoma, stage pT1N0M0S0.

Management Radiotherapy, radical orchiectomy, bilateral placement of testicular prostheses, androgen substitution therapy, regular follow-up assessment.

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Author information

Authors and Affiliations

  1. Assistant Professor in the Department of Urology, Faculty of Medicine, at the University of Trakya, Edirne, Turkey

    Mustafa Kaplan

  2. Head of the Section of Urologic Oncology at the Glickman Urological Institute, Professor of Surgery at the Cleveland Clinic Lerner College of Medicine at the Cleveland Clinic Foundation, and co-Director of the Genitourinary Malignancies Program at the Case Comprehensive Cancer Center, Cleveland, OH, USA

    Eric A Klein

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  1. Mustafa Kaplan
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  2. Eric A Klein
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Correspondence to Eric A Klein.

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The authors declare no competing financial interests.

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Kaplan, M., Klein, E. Bilateral metachronous testicular seminoma. Nat Rev Urol 2, 457–460 (2005). https://doi.org/10.1038/ncpuro0295

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  • DOI: https://doi.org/10.1038/ncpuro0295

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