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A rare cause of inguinal mass
1 Department of Radiation Oncology, University Hospital of Ibn Rochd, Casablanca, Morocco
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Saadia Ouarrak
Department of Radiation Oncology, University Hospital of Ibn Rochd, 1 rue des hôpitaux, Casablanca 20250,
Morocco
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Article ID: 100017Z15SO2021
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Ouarrak S, Bouchbika Z, Benchakroun N, Tawfiq N, Jouhadi H, Sahraoui S, Benider A. A rare cause of inguinal mass. J Case Rep Images Urol 2021;6:100017Z15SO2021.ABSTRACT
No Abstract
Keywords: Chemotherapy, Cryptorchidism, Testicular seminoma
Case Report
A 42-year-old-man presented with one year history of abdominal pain and inguinal masses. The physical examination was notable for bilateral inguinal masses, the right one was an ulcero-vegetative tumor (Figure 1A) measuring 150 mm at its largest dimension, and vacuity of the right scrotum. Computed tomography of the abdomen, pelvis, and thorax showed a large mass involving under the right kidney, measuring 270 × 180 mm extended to the right inguinal region with bilateral inguinal adenopathy. The biopsy of the right inguinal mass was performed. The histologic analysis showed a testicular seminoma. Alpha fetoprotein and human chorionic gonadotrophin levels were negative. Lactate dehydrogenase level of 1759 units per liter (reference range, 140–280 units per liter). The patient received chemotherapy (cisplatin, etoposide, bleomycin) with good clinical response (Figure 1B). Computed tomography showed more than 90% regression of the mass. Lactate dehydrogenase level after chemotherapy was normal. The patient was lost to follow-up.
Discussion
Cryptorchidism is the absence of one or both testes from the scrotum [1]. It is the most common birth defect of the male genitalia [2]. Lip et al. used meta-analysis to identify 12 series, they conclude that the relative risk of having cryptorchidism and subsequent testicular malignancy is 2.9 [3].
Surgical treatment is mandatory, with resection of intra-abdominal mass and chemotherapy may be an alternative, depending on the stage [4].
Conclusion
Early diagnosis and treatment of cryptorchidism is very important to avoid the risk of developing germ cell tumors. Our case had a good response after chemotherapy.
REFERENCES
1.
Kilgour FG. Stedman’s medical dictionary. Yale J Biol Med 1953;26(2):175.
2.
Wood HM, Elder JS. Cryptorchidism and testicular cancer: Separating fact from fiction. J Urol 2009;181(2):452–61. [CrossRef]
[Pubmed]
3.
Lip SZL, Murchison LED, Cullis PS, Govan L, Carachi R. A meta-analysis of the risk of boys with isolated cryptorchidism developing testicular cancer in later life. Arch Dis Child 2013;98(1):20–6. [CrossRef]
[Pubmed]
4.
Lim YJ, Jeong MJ, Bae BN, Kim SH, Kim JY. Seminoma in undescended testis. Abdom Imaging 2008;33(2):241–3. [CrossRef]
[Pubmed]
SUPPORTING INFORMATION
Author Contributions
Saadia Ouarrak - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Zineb Bouchbika - Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Nadia Benchakroun - Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Nezha Tawfiq - Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Hassan Jouhadi - Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Souha Sahraoui - Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Abdellatif Benider - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Saadia Ouarrak et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
