Abstract
A 36 year-old man after tests for assessing male infertility was diagnosed with primary infertility, bilateral cryptorchidism, nonobstructive azoospermia and discontinuous splenogonadal fusion. Carcinoma in situ was found in his left testicle, which was intraabdominal and associated with splenogonadal fusion. To our knowledge, this is the fourth case of splenogonadal fusion associated with testicular cancer reported. One should always bear in mind the possibility of this association for the left cryptorchid testicle.
Highlights
Splenogonadal fusion is a rare congenital anomaly that interferes with normal gonadal descent and closure of the processus vaginalis due toan abnormal attachment of the splenic tissue to the gonad, which can be in a continuous or discontinuous manner
Malignancy associated with splenogonadal fusion is exceedingly rare and, to our knowledge, only three cases of this association have been reported in the literature[3].We report a case of testicular cancer with concurrent presentation of splenogonadal fusion, cryptorquidism, non-obstructive azoospermia and male infertility
We found anarea measuring 0.8 cm of splenogonadal fusion associated with an atrophic testis (Figure 2), and testicular carcinoma in situ with microcalcifications in all testicular parenchyma (Figure 3) in all three microdissection biopsies done
Summary
Splenogonadal fusion and testicular cancer: case report and review of the literature. Roberto Iglesias Lopes, Mabel Tatty de Medeiros, Marco Antônio Arap, Marcello Cocuzza, Miguel Srougi, Jorge Hallak
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