Veliki spermatocitni seminom – redak tumor sa poreklom iz ćelija zametka

Rade Prelević; Boško Milev; Novak Milović; Mihajlo Ignjatovic; Aleksandar Spasic; Nikola Petrovic

doi:10.2298/VSP150527081P

Rade Prelević Clinic for Urology, Military Medical Academy, Belgrade, Serbia
Boško Milev Clinic for General Surgery, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
Novak Milović Clinic for Urology, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
Mihajlo Ignjatovic Clinic for General Surgery, Military Medical Academy, Belgrade, Serbia
Aleksandar Spasic Clinic for Urology, Military Medical Academy, Belgrade, Serbia
Nikola Petrovic Clinic for Urology, Military Medical Academy, Belgrade, Serbia

DOI: https://doi.org/10.2298/VSP150527081P

Keywords: seminoma, diagnosis, differential, urogenital surgical procedures, treatment outcome,

Abstract

Introduction.

Spermatocytic seminoma represents a rare hystologic type of malignant testicular germ cell tumor with slow course and low malignant potential. Case report. We presented a 69-year-old patient with atypical clinical presentation of spermatocytic seminoma initially diagnosed as gigantic hydrocoellae which compromised walking. After long term evolution clincal picture presented with signs and symptoms of acute scrotum. Preoperative echosonography was performed and the diagnosis of testicular infiltrative tumor was established. After that left scrotal orchiectomy was performed. Patohistological examination revealed spermatocytic seminoma. Conclusion. Inspite good prognosis there is a low probability of development of high grade malignancy sinchronous sarcoma within the testis with a high potential for lymphogenic and hematogenic dissemination. Individual approach is necessary in accordance with the pathohistological diagnosis.

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Gigantic spermatocytic seminoma – A rare tumor of germ cell origin

Abstract

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