CASE 388: TESTIS TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Boy 11 yo with left  scrotum is bigger than right one, he went through an  operation for  left inguinal hernia  2 years before, now  no pain, no fever.

US of scrotum detected hydrovaginalis and a small focal intratestis, size  of 0,8 cm, cystic calcification  in septation ( US 1, 2, 3),  hypovascular 

and very hard  in elastography ( US 4).

MRI  reported  a cystic tumor with calcification with  size of 1 cm.

All  AFP, HCG, testosterone  or  corticoid of blood tests  are negative.

Operation  for biopsy: macroscopic tumor is intra testis,  not  invasion to tunica vaginalis; tumor is white structure  like caseum.

Microscopic report is mature teratoma.

REFERENCE

Epidermoid Cyst and Teratoma of the Testis - Journal of Ultrasound in Medicine

www.jultrasoundmed.org/content/24/10/1403.full.pdf