Spermatocytic seminoma (SCS) with sarcoma is an extremely rare testicular tumor with only 11 cases previously described in the literature.
We present the 12th case of SCS with sarcoma in a 29-year-old male. SCS itself is an uncommon germ cell tumor with a relatively indolent clinical course that mostly affects males around the fifth decade of life. Sarcomatous differentiation of SCS occurs in 5% to 6% of cases and correlates with a higher possibility of metastatic disease and a poor prognosis. Clinically, this tumor manifests as a slow-growing testicular mass often with an accelerated period of secondary growth. After a concise review of the literature, we conclude that SCS with sarcoma should be treated by radical inguinal orchidectomy with strong consideration given to adjuvant chemotherapy.
Written by:
Wetherell D, Lawrentschuk N, Gyomber D. Are you the author?
Department of Urology, University of Melbourne, Austin Hospital, Heidelberg, Australia.
Reference: Korean J Urol. 2013 Dec;54(12):884-7.
doi: 10.4111/kju.2013.54.12.884
PubMed Abstract
PMID: 24363873
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