Korean J Androl.  2012 Apr;30(1):87-89. 10.5534/kja.2012.30.1.87.

Testicular Seminoma Incidentally Detected by Spermatic Cord Torsion

• Oh MM
• Shim JS
• Ahn ST
• Park TY
• Shin SH
• Cho S
• Kim SW
• Park JJ
• Moon DG

• KMID: 2298814
• DOI: http://doi.org/10.5534/kja.2012.30.1.87

Abstract

We recently encountered a very rare case of torsion of an intrascrotal testicular tumor in a 26-year-old male. Unlike the intra-abdominal undescended testis, intrascrotal spermatic cord torsion associated with a testicular tumor has rarely been reported. We write to report a case of intrascrotal spermatic cord torsion accompanied by a testicular tumor that had been overlooked preoperatively.

Keyword

Spermatic cord torsion; Seminoma

MeSH Terms

Adult
Cryptorchidism
Humans
Male
Seminoma
Spermatic Cord
Spermatic Cord Torsion

Figure

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  Fig. 1. (A) Gray-scale sonography showing heterogenous echogenicity combined with hypoechoic lesions within the parenchyma. (B) Round shape epididymis without blood flow on Doppler sonography.

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  Fig. 2. Bluish mass like lesions in seminiferous tubules transparently (white arrow) shown through albuginea with enlarged and congested epididymis (black arrow).

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  Fig. 3. (A) Hematoxylin and Eosin (H&E) stain revealed tumour cells with abundant clear to pale pink cytoplasm containing abundant glycogen with fibrous stromal network consistent with seminoma (×400). (B) Histopathology with H&E stain showing interstitial edema and hemorrhage at epididymis due to prolonged torsion (×100).

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