Abstract
Testicular Germ Cell cancers are classified into seminiferous Germ cell Tumors (SGCTs) and Non Seminomatous Germ cell Tumors (NSGCTs). The differentiation of above two entities is an important factor in Therapeutic Strategy and prognostic Index. The retroperitoneal lymphnode (RPLN) is a common site of metastasis in advanced testicular tumors, and large metastases in RPLN lead to ureteral obstruction and resultant hydronephrosis. But it can occur in early stage as happened with our patient.
Highlights
Testicular Germ Cell cancers are classified into seminiferous Germ cell Tumors (SGCTs) and Non Seminomatous Germ cell Tumors (NSGCTs)
retroperitoneal lymphnode (RPLN) is a common site of metastasis in advanced testicular tumors, and large metastases in RPLN occasionally lead to ureteral obstruction and resultant hydronephrosis
We report a case of pure testicular seminoma with elevated beta Human Chorionic Gonadotrophin (HCG) and clinical stage IIb but with huge size and Rete testis involvemen and features of ureteral obstruction
Summary
Testicular Germ Cell cancers are classified into seminiferous Germ cell Tumors (SGCTs) and Non Seminomatous Germ cell Tumors (NSGCTs). The retroperitoneal lymphnode (RPLN) is a common site of metastasis in advanced testicular tumors, and large metastases in RPLN lead to ureteral obstruction and resultant hydronephrosis. It can occur in early stage as happened with our patient. (Key words :Testicular Germ cell Tumors (TGCTs),Hydronephrosis, Orchidectomy &Chemotherapy). The biopsy report revealed appearance compatible with a pure seminomatous lesion of the testis measuring about 19×13×7 cm. Adjuvant chemotherapy was given due to the large size of the tumor and rete testis involvement. Follow up CECT done after 4 months of orchidectomy revealed normal para-aortic LNs and improved hydronephrosis & hydroureter
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