Ces Urol 2015, 19(4):304-308 | DOI: 10.48095/cccu2015042

Synchronous bilateral testicular seminoma

Petr Skála¹, Miroslav Štrbavý¹, Petr Ondráček², Milouš Derner³, Marek Broul^1,4

¹ Klinika urologie a robotické chirurgie, Univerzita Jana Evangelisty Purkyně, Masarykova nemocnice v Ústí nad Labem, Krajská zdravotní a.s.

² Urologická ambulance, Teplice

³ Oddělení radiodiagnostiky, Masarykova nemocnice v Ústí nad Labem, Krajská zdravotní a.s.

⁴ Sexuologické oddělení, Masarykova nemocnice v Ústí nad Labem, Krajská zdravotní a.s.

We present a case report of a patient with a rare diagnosis - synchronous bilateral testicular tumor. The sonographic appearance of both sides differed. Abdominal CT showed metastatic spread to lymph nodes of the left retroperitoneum. Initially, a bilateral radical orchiectomy was carried out. Histological examination rebutted the radiologist's presumption and showed bilateral testicular seminoma - according to the TNM classification pT3N3M0, SX. The patient subsequently underwent three cycles of adjuvant chemotherapy which achieved remission.

Keywords: Bilateral testicular tumor, chemotherapy, radical orchiectomy, seminoma, synchronous occurrence.

Received: July 29, 2015; Accepted: November 7, 2015; Prepublished online: November 7, 2015; Published: December 21, 2015