Abstract
BackgroundTesticular cancer is a rare disease. The incidence of testicular cancer in undescended testicles is of 3 to 48 times greater than in the general population. In the developed countries, the existence of undescended testicles in the adult population is rare, due to systematic practice of elective orchidopexy before the second year of life and orchiectomy in post adolescent males with undescended testicles. Despite these prevention measures, there are still some isolated cases of intra-abdominal testicular tumors in adults. We report a case of testicular cancer in cryptorchid testis revealed by supraclavicular lymphadenopathy.Case presentationWe report a case of a 46 year old fertile man with a history of unilateral cryptorchidism who presented with a palpable left supraclavicular mass and absence of the right testicle. On investigations an intrapelvic testis tumor was diagnosed. Laparotomy and complete excision was carried out. The possible association between the undescended testis and cancer transformations is briefly discussed.ConclusionTesticular cancer in undescended testicles should not be ignored. Only early diagnosis and lower of testis in scrotumprevent such clinical forms.
Highlights
A tumor of an intra-pelvic testis in a fertile patient revealed by supraclavicular lymphadenopathy is reported in this case
The patient underwent a laparotomy that confirmed the diagnosis of an intra-abdominal testicular tumor
The non-palpable testicles correspond to a 20% of the cryptorchidic testicles
Summary
Cryptorchidism (testicular maldescent), the most common congenital anomaly of the genitourinary tract in males, is encountered in 1% of boys. The incidence increases in subjects with deficiencies of androgen function [1]. Such an organ is at high risk of torsion, trauma, infertility, and malignancy. A tumor of an intra-pelvic testis in a fertile patient revealed by supraclavicular lymphadenopathy is reported in this case. Case presentation A 46 year old man, father of three children, without significant previous medical history, consulted for the gradual emergence of an isolated left supraclavicular mass. Supraclavicular node was performed and revealed metastatic lymphadenopathy of an embryonal carcinoma. The patient underwent a laparotomy that confirmed the diagnosis of an intra-abdominal testicular tumor. The pathological analysis revealed a non-seminomatous tumor. There was no clinical evidence of local recurrence or distant metastasis after 18-months follow up after discharge
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