Testicular Seminoma Incidentally Detected by Spermatic Cord Torsion

Mi Mi Oh; Ji Sung Shim; Sun Tae Ahn; Tae Yong Park; Su Hwan Shin; Suk Cho; Sang Woo Kim; Jong Jin Park; Du Geon Moon

doi:10.5534/kja.2012.30.1.87

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Oh, Shim, Ahn, Park, Shin, Cho, Kim, Park, and Moon: Testicular Seminoma Incidentally Detected by Spermatic Cord Torsion

Original Article

Korean J Androl 2012;30(1):87-89.

Published online: 17 April 2012

DOI: https://doi.org/10.5534/kja.2012.30.1.87

Testicular Seminoma Incidentally Detected by Spermatic Cord Torsion

Mi Mi Oh¹, Ji Sung Shim¹, Sun Tae Ahn¹, Tae Yong Park¹, Su Hwan Shin¹, Suk Cho¹, Sang Woo Kim¹, Jong Jin Park¹, Du Geon Moon^1,^2,

¹Department of Urology, Korea University School of Medicine, Seoul, Korea

²Korea University Institute of Regenerative Medicine, Seoul, Korea

Correspondence to: Du Geon Moon Department of Urology, Korea University Guro Hospital, 97 Gurodong-gil, Guro-gu, Seoul 152-703, Korea Tel: 02-2626-3201, Fax: 02-2626-1321 E-mail: dgmoon@korea.ac.kr

Revised 28 July 201120 September 201127 September 201110 October 2011 Accepted 12 October 2011

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We recently encountered a very rare case of torsion of an intrascrotal testicular tumor in a 26-year-old male. Unlike the intra-abdominal undescended testis, intrascrotal spermatic cord torsion associated with a testicular tumor has rarely been reported. We write to report a case of intrascrotal spermatic cord torsion accompanied by a testicular tumor that had been overlooked preoperatively.

Keywords: Spermatic cord torsion, Seminoma

REFERENCES

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Fig. 1.

(A) Gray-scale sonography showing heterogenous echogenicity combined with hypoechoic lesions within the parenchyma. (B) Round shape epididymis without blood flow on Doppler sonography.

Fig. 2.

Bluish mass like lesions in seminiferous tubules transparently (white arrow) shown through albuginea with enlarged and congested epididymis (black arrow).

Fig. 3.

(A) Hematoxylin and Eosin (H&E) stain revealed tumour cells with abundant clear to pale pink cytoplasm containing abundant glycogen with fibrous stromal network consistent with seminoma (×400). (B) Histopathology with H&E stain showing interstitial edema and hemorrhage at epididymis due to prolonged torsion (×100).

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