Planelles Gómez Jorge, Vergés Prósper Aleixandre, Rubio Tortosa Ignacio, Beamud Cortés Manel, Pastor Navarro Teresa, Beltrán Armada José Ramón, San Juan de Laorden Carlos
Servicio de Urología, Hospital Universitario Doctor Peset, Valencia, España.
Arch Esp Urol. 2007 Mar;60(2):205-7. doi: 10.4321/s0004-06142007000200017.
To report one case of bilateral synchronic testicular tumor with germ cell intratubular neoplasia foci affecting both testicles.
We describe the case of a 29-year-old male presenting with a painless tumor in the left testicle for a month. With the suspect of testicular tumor scrotal ultrasound, tumor markers and extension study to rule out metastasis were performed.
Ultrasound showed a hypertrophic left testicle with a lesion suspect for neoplasia, and incidental diagnosis of a hypoechoic lesion with augmented Doppler flow within the right testicle. Bilateral orchyectomy was performed with the pathologic diagnosis of classic seminoma with germ cell intratubular neoplasia foci in both testicles. Treatment was completed with two cycles of chemotherapy.
Bilateral synchronic testicular tumors are very rare. The most frequent histological type is classic seminoma. The diagnosis and treatment are similar to unilateral testicular tumors except certain cases in which partial excision of the testicle may be considered.
报告1例双侧同步性睾丸肿瘤，伴有影响双侧睾丸的生殖细胞管内瘤变灶。
我们描述了1例29岁男性患者，左侧睾丸出现无痛性肿块1个月。怀疑为睾丸肿瘤，进行了阴囊超声、肿瘤标志物检查及排除转移的扩展检查。
超声显示左侧睾丸肥大，有一个可疑的肿瘤性病变，右侧睾丸意外诊断出一个低回声病变，多普勒血流增强。行双侧睾丸切除术，病理诊断为双侧睾丸经典型精原细胞瘤伴生殖细胞管内瘤变灶。完成了两个周期的化疗。
双侧同步性睾丸肿瘤非常罕见。最常见的组织学类型是经典型精原细胞瘤。除某些可考虑睾丸部分切除术的病例外，其诊断和治疗与单侧睾丸肿瘤相似。
