Undescended Intraabdominal Testes Research Articles

Intra-abdominal undescended testis associated with seminoma manifesting as acute appendicitis; An extremely rare clinical presentation; Case report

Background: Cryptorchidism is a disease almost seen among premature male neonate. It should be underwent surgical fixation to scrotal sac if spontaneous testicular descending was not occurred during the first year of the life. Intra-abdominal undescended testis is a rare condition which makes the testicle susceptible to malignant degeneration. Acute appendicitis has varied presentation according to variety of appendix location. Manifestation of undescended intra-abdominal testis associated with seminoma degeneration as an acute appendicitis is an extremely rare clinical presentation.

Malignancy in an Undescended Intra-abdominal Testis: a Single Institution Experience.

Cryptorchidism is one of the most common congenital anomalies of the genitourinary tract, encountered in 1% of men. The cancer risk in an ectopic testis is 40 times higher than a scrotal testis. However, not much literature is available on the management of this rare presentation of testicular cancer. A retrospective analysis was conducted at our institute of patients who were diagnosed with carcinoma in an undescended intra-abdominal testis between 2014 and 2019. Patients with an intra-abdominal mass with an empty hemiscrotum/scrotum were included in the study. In all 10 patients were identified with a mean age of 32years. Four patients were non-seminomatous germ cell tumors, and other 6 were seminomatous tumors. Five were in stage I, two in stage II, and three in stage III. Six patients received induction chemotherapy with bleomycin, etoposide, and cisplatin, and four had complete response. Five patients underwent laparoscopic excision, and five underwent open surgery. Two patients with bilateral (B/L) cryptorchidism underwent contralateral orchidopexy. Two patients with B/L intra-abdominal gonads and uterus underwent excision of the malignant testicular mass with removal of atrophic uterus and contralateral dysgenetic gonad. One patient developed peritoneal recurrence within 3months of completion of surgery. Both recurrence-free and overall survival were 90% after a median follow-up of 35months. Malignancy in an undescended intra-abdominal testis is a rare presentation of testicular cancer, diagnosis of which requires a sharp correlation between clinical and radiological findings. There management and prognosis remains similar to classical testicular cancer.

V870 MANAGEMENT OF CRYPTORCHIDISM IN ADULTS

You have accessJournal of UrologyOncology (TCC & Adrenal) & Teaching Techniques1 Apr 2012V870 MANAGEMENT OF CRYPTORCHIDISM IN ADULTS Chris F. Heyns, Triegaardt J. Viljoen, Kenneth Du Toit, and Chris L.E. Van der Walt Chris F. HeynsChris F. Heyns Cape Town, South Africa More articles by this author , Triegaardt J. ViljoenTriegaardt J. Viljoen Cape Town, South Africa More articles by this author , Kenneth Du ToitKenneth Du Toit Cape Town, South Africa More articles by this author , and Chris L.E. Van der WaltChris L.E. Van der Walt Cape Town, South Africa More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.964AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Although cryptorchidism should be diagnosed at birth and treated in early childhood, in many parts of the world it is first diagnosed in adulthood, often incidentally. This video presents data on 58 men over the age of 18 years who underwent surgery for cryptorchidism, with an illustrative case of an apparently atrophic inguinal testis. METHODS A 31-year old man presented with a painful swelling 5x5 cm in the right inguinal area and an empty right hemiscrotum. Ultrasound and computed tomography suggested malignancy in an undescended inguinal testis, or inflammatory lymphadenitis. Surgical exploration of the inguinal canal revealed a spermatic cord-like structure apparently attached to a severely atrophic inguinal testis. The peritoneum was opened and an intraperitoneal testis was found. Orchidectomy was performed because the testicular vessels were very short and the patient had completed his family. Histology of the testis showed atrophy of the seminiferous tubules with no germ cells, and the excised inguinal mass showed acute lymphadenitis. RESULTS We treated 58 men over the age of 18 years (mean 26, range 18 to 41) diagnosed with cryptorchidism in the period February 1999 to December 2010. The undescended testis was on the right side in 43% of cases, on the left in 35% and bilateral in 22%. The testis was palpable in the inguinal canal in 60% and non-palpable in 40%. At surgery the testis was inguinal in 69%, intraperitoneal in 29% and absent in only 2%. The procedure performed was orchidopexy in 61% and orchidectomy in 39%. Histology showed atrophic testicular tissue in 89% and no testicular tissue in only 11%. CONCLUSIONS The presence of an apparent testicular remnant (“nubbin”) in the inguinal canal should not be accepted as evidence of testicular atrophy or agenesis. Surgical exploration of the inguinal area and retroperitoneum is not sufficient to exclude the presence of an undescended intra-abdominal testis, which is always intraperitoneal, not retroperitoneal. Laparoscopy or surgical exploration of the peritoneal cavity is essential. The vas deferens, epididymis and blood vessels may descend in an open processus vaginalis, creating the impression of an atrophic inguinal testis, while the testis itself remains intraperitoneal. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e354-e355 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Chris F. Heyns Cape Town, South Africa More articles by this author Triegaardt J. Viljoen Cape Town, South Africa More articles by this author Kenneth Du Toit Cape Town, South Africa More articles by this author Chris L.E. Van der Walt Cape Town, South Africa More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

MRI findings of bilateral juvenile granulosa cell tumor of the testis in a newborn presenting as intraabdominal masses

Juvenile granulosa cell tumor (JGCT) of the testis is a rare benign tumor that typically presents as a relatively small (<2 cm) unilateral scrotal mass in neonates or infants. Bilateral JGCT of the testes presenting as large intraabdominal masses in the neonate is very rare. Utilizing preoperative MRI findings, we report a rare case of bilateral JGCT of the testes presenting as large multiseptated abdominal masses originating from undescended intraabdominal testes in a neonate.

Seminomas Complicating Undescended Intraabdominal Testes in Patients With Prior Negative Findings From Surgical Exploration

Seminomas Complicating Undescended Intraabdominal Testes in Patients With Prior Negative Findings From Surgical Exploration

Seminomas Complicating Undescended Intraabdominal Testes in Patients With Prior Negative Findings From Surgical Exploration

No AccessJournal of UrologyUrological Survey: Abstracts1 Oct 1999Seminomas Complicating Undescended Intraabdominal Testes in Patients With Prior Negative Findings From Surgical Exploration F.H. Miller, W.S. Whitney, S.W. Fitzgerald, E.I. Miller, and Patrick C. Walsh F.H. MillerF.H. Miller More articles by this author , W.S. WhitneyW.S. Whitney More articles by this author , S.W. FitzgeraldS.W. Fitzgerald More articles by this author , E.I. MillerE.I. Miller More articles by this author , and Patrick C. WalshPatrick C. Walsh More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)68367-XAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail "Seminomas Complicating Undescended Intraabdominal Testes in Patients With Prior Negative Findings From Surgical Exploration." The Journal of Urology, 162(4), pp. 1553–1554 Baltimore, MarylandDepartments of Radiology, Northwestern Memorial Hospital, Northwestern University Medical Center, Chicago, Illinois, and Hoag Memorial Hospital, Newport Beach, California© 1999 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 162Issue 4October 1999Page: 1553-1554 Advertisement Copyright & Permissions© 1999 by American Urological Association, Inc.MetricsAuthor Information F.H. Miller More articles by this author W.S. Whitney More articles by this author S.W. Fitzgerald More articles by this author E.I. Miller More articles by this author Patrick C. Walsh More articles by this author Expand All Advertisement PDF DownloadLoading ...

Torsion of an Undescended Intraabdominal Benign Testicular Teratoma

A 4-year-old well boy was seen because of an asymptomatic left testicle undescended since birth; the testis was not palpable and the right side was normal. After an episode of left lower quadrant and left hip area pain, with some bladder symptoms and left leg limping, a work-up including a CAT scan showed a calcified retroperitoneal pelvic tumor on the left side. At laparotomy, an infarcted mass was found in the pelvis just above the internal ring. It was a torsion of an undescended intraabdominal testis with a benign testicular teratoma. The tumor was removed and his recovery was uneventful.

Torsion of an undescended intraabdominal benign testicular teratoma

A 4-year-old well boy was seen because of an asymptomatic left testicle undescended since birth; the testis was not palpable and the right side was normal. After an episode of left lower quadrant and left hip area pain, with some bladder symptoms and left leg limping, a work-up including a CAT scan showed a calcified retroperitoneal pelvic tumor on the left side. At laparotomy, an infarcted mass was found in the pelvis just above the internal ring. It was a torsion of an undescended intraabdominal testis with a benign testicular teratoma. The tumor was removed and his recovery was uneventful.

Microvascular surgical orchiopexy in the treatment of high-lying undescended testes.

Extensive laboratory experiments in animals have led us to believe that autotransplantation of the testis in the human is feasible. To date, nine of our patients (aged 4-13 years) with undescended intra-abdominal testes have undergone autotransplantation. Using a microvascular surgical technique to anastomose the testicular vessels to the inferior epigastric vessels, it has been possible to place the testis in a scrotal position in every case. No postoperative complications have been noted. Follow-up varied from 9 to 18 months and no atrophy of the testis was observed in this period. Doppler investigations on all of the transplanted testes continue to demonstrate good arterial flow. The aim of surgery on the undescended testis is not only to increase the chances of fertility and to diminish the possibility of malignant transformation but also, more importantly perhaps, to prevent possible abnormal psychosexual development in the child.

Seminoma of intra-abdominal testis in sixty-seven-year-old man

A sixty-seven-year-old man found to have a seminoma of an undescended intraabdominal testis is believed to be the oldest reported patient with this presentation. This case emphasizes the importance of careful palpation of the testis as part of the routine physical examination at any age. Testicular tumor or metastases should be included in the differential diagnosis of retroperitoneal mass.