Akpala Anna, Bhattacharyya Saloni, Damola Adebiyi, Viney Richard
Urology, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.
Urology, University of Birmingham, Birmingham, GBR.
Cureus. 2023 Dec 28;15(12):e51219. doi: 10.7759/cureus.51219. eCollection 2023 Dec.
A lump in the testicle, painful or painless, could represent testicular cancer. Testicular cancer can be subdivided into germ-cell testicular cancer and sex cord-stromal tumors. A majority of testicular neoplasms are germ cell tumors (GCTs). GCTs are broadly divided into seminomatous and non-seminomatous germ cell tumors (NSGCTs) due to differences in natural history and treatment. Removal of the testis, also known as a radical orchidectomy, is often offered as part of the treatment for testicular cancer, which may be followed by additional medical treatment. It is not very common to have a recurrence of testicular cancer in the scrotum after a radical orchidectomy, and it is even rare to find this scrotal recurrence on the same side. An extensive literature review showed only one recorded case of scrotal recurrence of NSGCTs after orchidectomy but on the contralateral side. Here, we report the first case of scrotal recurrence of NSGCT after radical inguinal orchidectomy on the same side in a man who had orchidopexy in childhood. It is still unclear why testicular cancer could recur in the scrotum after a radical orchidectomy.
睾丸出现肿块，无论疼痛与否，都可能是睾丸癌。睾丸癌可细分为生殖细胞睾丸癌和性索间质肿瘤。大多数睾丸肿瘤是生殖细胞肿瘤（GCTs）。由于自然病史和治疗方法的差异，GCTs大致分为精原细胞瘤和非精原细胞生殖细胞肿瘤（NSGCTs）。切除睾丸，即根治性睾丸切除术，通常是睾丸癌治疗的一部分，术后可能还需要进一步的药物治疗。根治性睾丸切除术后，睾丸癌在阴囊复发的情况并不常见，在同侧发现阴囊复发的情况更为罕见。一项广泛的文献综述显示，仅记录到1例非精原细胞生殖细胞肿瘤（NSGCTs）睾丸切除术后阴囊复发的病例，但发生在对侧。在此，我们报告首例在儿童期接受过睾丸固定术的男性，行根治性腹股沟睾丸切除术后同侧阴囊出现NSGCTs复发的病例。目前仍不清楚为什么睾丸癌在根治性睾丸切除术后会在阴囊复发。
