A Case of Metachronous Bilateral Testicular Seminoma with Retroperotoneal Recurrence

Abstract

Objective: To present a case of bilateral metachronous seminoma and examine the uncommon nature of the clinical presentation.

Methods: A 35 year old male patient presented with a firm testicular swelling and on right orchidectomy showed evidence of classical seminoma. Three years ago he had presented with left testicular swelling and undergone left high inguinal orchidectomy with a pathological diagnosis of testicular seminoma. He had radiotherapy and chemotherapy immediately following the first orchidectomy.

Results: After the right orchidectomy the raised AFP was normalized and the patient is on followup and asymptomatic for three and half years. Recently he developed cough and chest symptoms and on evaluation showed enlarged mediastinal and retroperitoneal lymph nodes and raised serum markers. He was put back on cyclic chemotherapy and he has recovered.

Conclusion: Bilateral testicular tumours are rare and bilateral metachronous seminomas are even rarer.