Revista de Ciencias Médicas de Pinar del Río
versão ISSN 1561-3194
LLERA CLAUSELL, Teresita et al. Contralateral tumor of the testis, an onset at ten (10) years of oncological assessment. Rev Ciencias Médicas [online]. 2010, vol.14, n.4, pp. 130-140. ISSN 1561-3194.
A 41 years-old, black, male patient who in 1999 attended to the urology office at "Abel Santamaria Cuadrado" University Hospital with an increase of volume in the left testis, non-painful having the clinical and imaging diagnose of left testicular tumor, the patient was admitted in the Urology Service to undergo surgical treatment (left orchiectomy), verifying by biopsy, a classic seminoma, which was classified as T1N1MO. Radiotherapy and chemotherapy was indicated showing a satisfactory progress. The patient was followed-up in periodic multidisciplinary, onco-urologic consultations. In 2009, 10 years after, the patient complained of pain in the right testis, increase of volume in the middle-inferior portion of the testis that was interpreted as a process of epididymo-orchitis, starting with antibiotics (ciprofloxacin, amoxicillin),where no-treatment response was observed. Imaging examinations showed nodular imagines with variable densities in relation to an inflammatory or tumoral process and limited retro-perineal and inguinal-bilateral adenopathies <13mm, performing a BAAF in the right testis which verified the existence of malignant cells, a right orchiectomy was carried out, pathologic findings showed a classic testicular seminoma T1NOMO-S0 (Clinical stage 1A). Post operative progress is satisfactory, indicating the treatment of androgenic supplements and y-radiotherapy (30Gy). Currently the patient is asymptomatic.
Palavras-chave : Classic testicular seminoma; orchiectomy.