A rare case of squamous cell carcinoma of the paratesticular tissues Submit Manuscript | http://medcraveonline.com Patient G., who was 27 years old, had no previous medical history, and had swelling in the left testicle for the previous 6 months visited our center. He had not undergone any treatment previously. During the previous 1.5 months, the tumor in his left testicle had started to increase in size, and he was admitted urgently to the neurology department with pain in the left lumbar region. Fine-needle multifocal biopsy of the left testis was performed, and the pathological reports showed aplastic cells of a malignant tumor, while cytological examination demonstrated embryonic cancer.He was admitted to the urology unit of an oncological institution for further diagnostic procedures and treatment. Computer tomography showed lesions in S2 and S6 of the right lung as well as in S1-2 and S10 of the left lung. Few foci up to 4 mm and enlarged paraortal lymph nodes up to 27×23mm were observed (Figure 1) (Figure 2). According to the ultrasonographic examination of the scrotum: the right testicle and epididymis had no pathology; the left testicle was 57×41mm in size. There was isoechoic formation (48×37mm), heterogeneous structure due to the hypoechoic areas with fuzzy contours. Under the tunics, a moderate amount of liquid with a finedispersed suspension was determined; in the projection of the tail of the epididymis, there was an echogenic formation (26×23mm) with heterogeneous fine-dispersed contents (Figure 3). The patient's fertility status was assessed: blood tests showed that the levels of luteinizing hormone, follicle stimulating hormone, testosterone, and oncomarkers (alpha-fetoprotein [AFP], lactate dehydrogenase [LDH], and β human chorionic gonadotropin [β-hCG]) were normal. Spermography showed normospermia.
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