Testicular seminoma

Case contributed by Nabhan Husain Masri , 21 Dec 2021
Diagnosis almost certain
Changed by Calum Worsley, 6 Jan 2022

Updates to Case Attributes

Title was changed:
Testicular Seminomaseminoma
Status changed from pending review to published (public).
Published At was set to .
Age changed from 40 to 40 years.
Presentation was changed:
40 Year old patient presented with leftLeft-sided painless scrotal swelling.
Body was changed:

Testicular cancers are divided to : Seminomas  andinto seminomas and non-seminomas, while. The exact etiology of testicular cancer is unknown, but studies show that if the patient has undescended testis, he is inat increased risk of testicular cancer.

Testicular cancers are initially evaluated, by clinical exam and ultrasonography, and there are multiple treatment methods that available for this certain type of testicular cancers.

The following non-painful causes of testicular swelling should be considered in the workup of a hydrocelescrotal mass:

  • Spermatocele.spermatocele
  • Varicocele.varicocele
  • Hematocele.hematocele
  • Inguinalinguinal hernia (bowel)
  • Testiculartesticular tumors
  • -<p>Testicular cancers are divided to : Seminomas  and non-seminomas, while The exact etiology of testicular cancer is unknown, but studies show that if the patient has undescended testis , he is in increased risk of testicular cancer.</p><p>Testicular cancers are initially evaluated, by clinical exam and ultrasonography, and there are multiple treatment methods that available for this certain type of testicular cancers.</p><p> </p><p>The following non-painful causes of testicular swelling should be considered in the workup of a hydrocele:</p><ul>
  • -<li>Spermatocele.</li>
  • -<li>Varicocele.</li>
  • -<li>Hematocele.</li>
  • -<li>Inguinal hernia (bowel)</li>
  • -<li>Testicular tumors</li>
  • +<p>Testicular cancers are divided into seminomas and non-seminomas. The exact etiology of testicular cancer is unknown, but studies show that if the patient has undescended testis, he is at increased risk of testicular cancer.</p><p>Testicular cancers are initially evaluated by clinical exam and ultrasonography, and there are multiple treatment methods that available for this certain type of testicular cancers.</p><p>The following non-painful causes of testicular swelling should be considered in the workup of a scrotal mass:</p><ul>
  • +<li>spermatocele</li>
  • +<li>varicocele</li>
  • +<li>hematocele</li>
  • +<li>inguinal hernia (bowel)</li>
  • +<li>testicular tumors</li>

References changed:

  • Juan D. Cedeno, Dawn E. Light, Stephen W. Leslie. Testicular Seminoma. StatPearls Publishing. 2021. <a href="https://www.ncbi.nlm.nih.gov/books/NBK448137/">https://www.ncbi.nlm.nih.gov/books/NBK448137/</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/28846234">Pubmed</a>
  • Anish Lamichhane & Shiva Kumar R. Mukkamalla. Seminoma. StatPearls Publishing. 2021. <a href="https://www.ncbi.nlm.nih.gov/books/NBK560513/">https://www.ncbi.nlm.nih.gov/books/NBK560513/</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/32809348">Pubmed</a>
  • Cedeno JD, Light DE, Leslie SW. Testicular Seminoma. [Updated 2021 Aug 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448137/
  • Lamichhane A, Mukkamalla SKR. Seminoma. [Updated 2021 Sep 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560513/

Updates to Link Attributes

Title was removed:
Testicular Seminoma
Type was removed.
Visible was set to .

Updates to Primarylink Attributes

Updates to Study Attributes

Findings was changed:

The left testis is enlarged and almost replaced by a heterogenous mainly hypoechoic lesion showing internal vascularity with area of necrosis measuring about 5.7 x 5.7 x 8 cm ( 155(155 mL in volume) suggesting testicular neoplasm (malignancy)malignancy

Complimentary abdominal ultrasound shows a left para-aortic, irregular, hypoechoic massesmass suggesting metastatic lymph nodes measuring about 5.6 x 5.7 cm.

The right testis, epididymal head, and the visualised part of the left epididymal head appear of normal size, shape and echogenicity without focal lesion.

Mild left-sided hydrocoelehydrocele is noted measuring about 4.6 x 3.8 x 6.1 cm( 54 (54 mL in volume).Minimal non-significant right-sided hydrocoelehydrocele is noted.

Images Changes:

Image Ultrasound (axial and longitudinal) ( update )

Cropped image

Updates to Freetext Attributes

Description was removed:

The following non-painful causes of testicular swelling should be considered in the workup of a hydrocele:

  • Spermatocele.
  • Varicocele.
  • Hematocele.
  • Inguinal hernia (bowel)
  • Testicular tumors

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