Testicular cancer found incidentally during gender-affirming orchiectomy is infrequently reported in the literature. This report details a 27-year-old transgender woman whose testicular cancer was discovered incidentally upon routine histopathologic examination of the orchiectomy specimen. The patient did not present with any clinical signs of malignancy. There was no evidence of metastases after further workup and the patient was able to resume hormone therapy after surgery. Transgender individuals must be screened according to their natal anatomy and even in absence of clinical signs excised tissue should be examined for possible malignancy.
Urology case reports. 2024 Aug 03*** epublish ***
R Evey Aslanian, Cole Roblee, David C Smith, Rohit Mehra, William M Kuzon
Section of Plastic Surgery, Department of Surgery, University of Michigan, 1500 E Medical Center Dr, Ann Arbor, MI, USA., Division of Hematology and Oncology, Department of Internal Medicine, University of Michigan, 1500 E Medical Center Dr, Ann Arbor, MI, USA., Department of Pathology, Michigan Center for Translational Pathology, Rogel Cancer Center, University of Michigan, 1500 E Medical Center Dr, Ann Arbor, MI, USA., Chicago Medical School, Rosalind Franklin University of Medicine and Science, 3333 N Green Bay Rd, North Chicago, IL, USA.