Bulky Seminoma in an Undescended Testis Presenting as a Mass in the Right Iliac Fossa
*Awad Ali Mohamed Ahmed Department Of Surgery, University Of Medical Sciences And Technology, Khartoum, Sudan
*Corresponding Author: Awad Ali Mohamed Ahmed
Department Of Surgery, University Of Medical Sciences And Technology, Khartoum, Sudan Email:email@example.com
Published on: 2016-11-04
Seminoma in undescended testes may present as right iliac fossa mass. A seminoma in a 49 year old man with ipsilateral undescended testis is presented and relevant literature is reviewed. A 49 year old male presenting with a right iliac fossa mass was admitted to our hospital and initial diagnostic tests followed by abdominal computerized tomography (CT) were performed. Abdominal CT clearly demonstrated the tumor location. He underwent surgery and the tumor was not operable and biopsy was taken. Pathological diagnosis was consistent with classical seminoma. He was referred to oncology clinic after discharge. Tumors of undescended testis can present as a right iliac fossa mass and clinicians must be aware of their existence.
Seminoma; Undescended Testes; Right Iliac Fossa Mass
Germ cell tumors (GCT) of testes can be benign (teratomas) or malignant (seminoma and non-seminoma). GCT most frequently occur in the gonads, only 2-5% of them arise in extragonadal regions such as the mediastinum, retroperitoneum, pineal gland and sacral area. Cryptorchidism carries a higher potential for malignant transformation than normally descended testis. The position of the undescended testis is related to the likelihood of carcinogenesis with intra-abdominal testis having the highest malignant potential. The majorities of undescended testes locates distal to the external inguinal ring and are palpable.