Left testicular seminoma in an adult patient. Case report

Abstract

Objective: Describe a case of testicular tumor with atypical presentation at the time of diagnosis.
Clinical case: 61-year-old male, with no pathological history, presented for deferred consultation due to pandemic in March 2021, reporting mild inflammation and pain, left testicular intermittent, ipsilateral heavy sensation, as well as gradual increase in size since 1 month ago. Laboratory studies such as alpha feto protein and human chorionic gonadotropin beta fraction were performed, resulting in normal parameters. An abdominal ultrasound was performed, reporting a left testicular tumor with characteristics of malignancy, left intratesticular nodules, probable left epididymitis, to rule out neoplastic extension. The patient underwent left radical orchiectomy, sending a specimen to pathology reporting seminoma with involvement of the spermatic cord and lymphovascular permeation with lesion-free edges. Conclusions: It is important to know this type of tumors, focusing our attention on identifying the disease in an early stage. Patients should be able to examine themselves and be educated about successful management of early disease. Testicular seminoma is a cancer with a good prognosis, with cure rates of up to 99%. First contact doctors must keep this type of pathology in mind when faced with any sign or symptom that involves the testicular area and refer in a timely manner for a better prognosis for patients.