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Sunday 6 November 2016

CASE 404: ECTOPIC TESTIS TUMOR, Dr PHAN THANH HẢI- Dr NGUYỄN PHÚ HỮU, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


Man 35 yo with  pain at RLQ. Ultrasound  of abdomen detected one hypoechoic mass retrocoecum ( US 1) which was  suspected an abscess.


Blood tests =  normal  WBC and CRP. MSCT reported  this ellypsoid  mass with   size of 5 cm,   retroperitoneum, pull up the coecum, and MSCT with CE for rule out an abscess. (CT1: cross section, CT 2 sagital. CT 3  scrotum  section  not detected right testis.




Pre operative  surgeon suggested right  ectopic testis tumor.
Endolaparoperation detected  the coecum  was pulled  up ( ope 1, 2 ).




Ope 3=tumor is retro peritoneum.



Macroscopic removing this tumor which is  ectopic testis.

Microscopic  report is seminoma.

COMMENT: For  men  once ultrasound detected a hypoechoic mass in  retroperitoneum  at pelvis that has to verify ectopic testis, and if it is hypoechoic  like the cyst, the nature of testis tumor may belong lymphoma or seminoma.

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