关键词: bilateral synchronous testicular tumor bilateral testicular cancer bilateral testicular tumors embryonal cell carcinoma mixed germ cell tumor primary choriocarcinoma testicular seminoma yolk sac tumor

来  源:   DOI:10.7759/cureus.42374   PDF(Pubmed)

Abstract:
Bilateral synchronous testicular tumors are a relatively uncommon occurrence, especially when they involve germ cell tumors of different histology. In this context, we present a compelling case report of a male patient who was diagnosed with bilateral synchronous germ cell testicular tumors, with one being a seminoma and the other a non-seminomatous germ cell tumor (NSGCT). The coexistence of two distinct histological types, seminoma and NSGCT, necessitates a comprehensive diagnostic approach to accurately identify and characterize each tumor. This underscores the importance of clinical history, physical examination, imaging techniques, and histopathological analysis to establish an appropriate diagnosis. Careful consideration must be given to factors such as tumor stage, histological subtype, and individual patient characteristics to determine the most suitable treatment strategy. Treatment options may encompass a combination of surgery, chemotherapy, and radiation therapy, tailored to each tumor\'s specific characteristics and the patient\'s overall health. By highlighting this unique case, we aim to underscore the significance of meticulous evaluation and accurate diagnosis when confronted with bilateral synchronous testicular tumors of different histology.
摘要:
双侧同步睾丸肿瘤是一种相对罕见的发生,特别是当它们涉及不同组织学的生殖细胞肿瘤时。在这种情况下,我们提出了一个令人信服的病例报告的男性患者谁被诊断为双侧同步生殖细胞睾丸肿瘤,一个是精原细胞瘤,另一个是非精原细胞瘤(NSGCT)。两种不同的组织学类型共存,精原细胞瘤和NSGCT,需要一种全面的诊断方法来准确识别和表征每个肿瘤。这强调了临床病史的重要性,体检,成像技术,和组织病理学分析以建立适当的诊断。必须仔细考虑肿瘤分期等因素,组织学亚型,和患者的个体特征来确定最合适的治疗策略。治疗选择可能包括手术的组合,化疗,和放射治疗,根据每个肿瘤的具体特征和患者的整体健康情况量身定制。通过突出这个独特的案例,我们的目的是强调当面对不同组织学的双侧同步睾丸肿瘤时,细致评估和准确诊断的重要性。
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