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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 Moon1, 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

Copyright © 2012 Journal of the Korean Society for Male Gynecology

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.

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Keywords: Spermatic cord torsion, Seminoma

REFERENCES

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2). Arce JD, Cortés M, Vargas JC. Sonographic diagnosis of acute spermatic cord torsion. Rotation of the cord: a key to the diagnosis. Pediatr Radiol. 2002; 32:485–91.
3). Shirakawa H, Kozakai N, Sugiura H, Hara S. Torsion of a testicular cancer in cryptorchidism prolapsing out of the inguinal canal: a case report. Hinyokika Kiyo. 2009; 55:783–5.
4). Takeshita H, Chiba K, Kitayama S, Noro A. Two cases of intrascrotal tumors complicated acute scrotum. Nihon Hinyokika Gakkai Zasshi. 2008; 99:698–702.
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5). Prando D. Torsion of the spermatic cord: the main gray-scale and doppler sonographic signs. Abdom Imaging. 2009; 34:648–61.
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6). Vaidyanathan S, Hughes PL, Mansour P, Soni BM. Seminoma of testis masquerading as orchitis in an adult with paraplegia: proposed measures to avoid delay in diagnosing testicular tumours in spinal cord injury patients. Scientific World Journal. 2008; 8:149–56.
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kja-30-87f1.tif
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.
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kja-30-87f2.tif
Fig. 2.
Bluish mass like lesions in seminiferous tubules transparently (white arrow) shown through albuginea with enlarged and congested epididymis (black arrow).
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kja-30-87f3.tif
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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