Nkembe Marius Nkembe, Mvalo Clarence Mbanga, Tianyi Frank Leonel, Demba Cisse
Franciscan Catholic Health Centre Mayo-Darlé, Mayo-Darlé, Adamawa Region, Cameroon.
Mankon Sub-divisional Hospital, Mankon, Northwest Region, Cameroon.
J Med Case Rep. 2019 Jan 4;13(1):2. doi: 10.1186/s13256-018-1917-3.
Cryptorchidism is the most common congenital malformation of the male genitourinary tract. The cryptorchid testis is most often located in the inguinal canal; however, intra-abdominal locations are not rare. The risk of malignancy in an undescended testis is 10% with the highest risk in an intra-abdominal testis.
Here we describe a case of a 40-year-old fertile man of Fulbe origin who presented with a non-tender lower abdominal mass of 2 months' duration. A scrotal examination revealed just one testis in the right scrotum, with the contralateral scrotum and inguinal canal being empty. An exploratory laparotomy followed by tumor excision and histopathology revealed a testicular seminoma.
This case report highlights the need for routine scrotal examination in all men presenting with an abdominal mass so as to rule out the possibility of an intra-abdominal seminoma.
隐睾症是男性泌尿生殖道最常见的先天性畸形。隐睾最常位于腹股沟管；然而，位于腹腔内的情况也并不罕见。未降睾丸发生恶性肿瘤的风险为10%，其中腹腔内睾丸的风险最高。
在此，我们描述一例40岁、来自富尔贝族的可育男性病例，该患者出现持续2个月的下腹部无痛性肿块。阴囊检查发现右侧阴囊内仅有一个睾丸，对侧阴囊和腹股沟管空虚。随后进行了剖腹探查术，接着切除肿瘤并进行组织病理学检查，结果显示为睾丸精原细胞瘤。
本病例报告强调，对于所有出现腹部肿块的男性，都需要进行常规阴囊检查，以排除腹腔内精原细胞瘤的可能性。
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