• Prog Urol · Apr 2006

    Case Reports

    [Spermatocytic seminoma with rhabdomyosarcomatous contingent].

    • Inès Chelly, Amina Mekni, Mohamed Mrad Gargouri, Khadija Bellil, Moncef Zitouna, Ali Horchani, and Nidhameddine Kchir.
    • Service d'Anapatomologie, Hôpital La Rabta, Tunis, Tunisie.
    • Prog Urol. 2006 Apr 1; 16 (2): 218-20.

    IntroductionSpermatocytic seminoma is a relatively rare testicular tumour, not associated with another germ-cell tumour component and characterized by a favourable prognosis. However, discovery of a sarcomatous contingent modifies the prognosis.Material And MethodThe authors report the case of a 50-year-old man with a history of right testicular swelling for 4 years, gradually increasing in size without vaginal effusion. Tumour markers were normal. Ultrasound demonstrated a very large semi-solid semi-cystic testicular mass with a long axis of 14 cm. Orchidectomy was performed.ResultHistological examination and immunohistochemistry of the orchidectomy specimen concluded on spermatocytic seminoma associated with a rhabdomyosarcomatous component.ConclusionOnly 12 cases of spermatocytic seminoma with sarcomatous component have been reported in the literature The presence of a sarcomatous component confers a very poor prognosis to spermatocytic seminoma.

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