We describe the case of a 45-year-old male who was admitted with clinical signs of superior vena cava syndrome (SVCS). Physical examination showed collar of Stokes and extensive collateral circulation in the neck and anterosuperior thoracic region, as well as a large testicular mass. Fibrobronchoscopy revealed an endobronchial tumour, histopathologically diagnosed as seminoma, with the same cha...

Intratesticular arteriovenous malformations (AVMs) are extremely rare benign incidental lesions of the testis. Ultrasonography (US) generally reveals a hypoechoic solid mass within the testicular parenchyma. We describe a patient with intratesticular AVM which was found incidentally during workup for infertility. The gray-scale and Doppler US appearance of an intratesticular AVM and the differe...

Case 2 ▼ A 59-year-old man reported a progressive painless swelling of the right scrotum for 8 months. There was no previous history of a testicular abnormality. The patient underwent a transurethral resection for a prostatic hyperplasia one year ago. On physical examination, multiple hard nodules were palpated simulating a large solid right testicular mass. Because of the clinical suspicion of...

A 22-year-old male presented at our institution with an incidentally ultrasound-detected testicular tumor. Magnetic resonance imaging showed a contrast-enhanced right intratesticular mass over 1 cm in size. The patient underwent testis sparing surgery. Pathologic examination revealed seminoma. A follow-up nine months later showed no residual tumor, a normal contour of the testis and no evidence...

Testicular carcinoid tumours (TCT) account for less than 1% of all testicular neoplasms. A 17-year-old male underwent radical orchiectomy for a painful indurated and increased in size right testicle; a mixed echogenic mass, with a central homogeneous area surrounded by a hypoechoic edge with calcifications was found at ultreasound with increased vascularity at color Doppler examination. Biochem...

A 34-year-old tetraplegic patient with suppurative epididymitis was found on follow-up examination and ultrasonography to have a testicular mass. The radical orchiectomy specimen contained an undifferentiated spindled sex cord-stromal tumor arising in the rete testis. Testicular sex cord-stromal tumors are far less common than germ cell neoplasms and are usually benign. The close relationship b...

Splenogonadal fusion is a rare benign congenital anomaly defined as the presence of splenic tissue adherent to gonads. It was first described in 1883 by Bostroem, a German pathologist. We present a case of an 18-month-old boy who was referred as a case of bilateral empty scrotum since birth. During routine laparoscopic exploration, right vas deferens and testicular vessels were entering the rig...

52-year-old patient, epileptic, consulted for isolated left testicular pain since three months. On examination, the left testicle was the seat of a small lower polar nodule of approximately 1 cm in size. No other sign, including gynecomastia or swelling of superficial lymph nodes was observed. Tumor markers such as alphafetoprotein (AFP), b-human chorionic gonadotropin (b-HCG) and lactate dehyd...

Para testicular rhabdomyosarcoma is a rare malignant tumour, which usually presents as a painless mass in the scrotum or groin. A case of para testicular rhabdomyosarcoma in a 17-year-old male is being reported here who presented with chronic scrotal pain. Paratesticular rhabdomyosarcoma is a rare non germ cell tumour of scrotal sac in children and young adult/teens which can invade testis at p...

To cite: Muoka OE, Dahar N. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013009103 DESCRIPTION A 26-year-old man was referred by his general practitioner as an urgent referral based on a 2-week history of a hard right testicular mass. There was no history of trauma, sexually transmitted infections or previous testicular surgery. On examination, a hard 2 cm irr...