关键词: bilateral testicular cancer discordant histopathology embryonal carcinoma seminoma testicular germ cell tumor

来  源:   DOI:10.7759/cureus.49874   PDF(Pubmed)

Abstract:
Testicular cancer, accounting for 1-1.5% of male malignancies, rarely presents bilaterally, with only 2-3% of cases being bilateral and a mere 10% being synchronous, typically sharing histological patterns in both testes. Discordant histological presentation is exceedingly rare, with only a few reported cases. In this report, we detail a case involving a 35-year-old infertile male with bilateral synchronous testicular tumors, each exhibiting different histopathologies. This case highlights the diagnostic intricacies and the necessity for tailored management in the face of such uncommon presentations. The implications of oncological treatment and fertility preservation significantly affect the patient\'s overall quality of life.
摘要:
睾丸癌,占男性恶性肿瘤的1-1.5%,很少双边呈现,只有2-3%的病例是双边的,只有10%是同步的,通常在两个睾丸中共享组织学模式。不一致的组织学表现非常罕见,只有少数病例报告。在这份报告中,我们详细介绍了一例35岁男性不育,双侧睾丸肿瘤,每个都表现出不同的组织病理学。这种情况凸显了诊断的复杂性以及面对这种罕见的表现时进行量身定制管理的必要性。肿瘤治疗和保留生育能力的意义显著影响患者的整体生活质量。
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