Giant Seminoma in an Undescended Testis Presenting as a Mass in the Right Iliac Fossa

Abstract

Seminoma in undescended testes may present as right iliac fossa mass. A seminoma in a 49 year old man with ipsilateral undescended testis is presented and relevant literature is reviewed. A 49 year old male presenting with a right iliac fossa mass was admitted to our hospital and initial diagnostic tests followed by abdominal computerized tomography (CT) were performed. Abdominal CT clearly demonstrated the tumor location. He underwent surgery and the tumor was not operable and biopsy was taken. Pathological diagnosis was consistent with classical seminoma. He was referred to oncology clinic after discharge. Tumors of undescended testis can present as a right iliac fossa mass and clinicians must be aware of their existence.