Malignant testicular tumor in a sixteen-month old boy: case report
DOI:
https://doi.org/10.13112/pc.350Keywords:
child, endodermal sinus tumor, testicular neoplasmAbstract
Malignant testicular tumors in children are rare. The aim of this paper is to describe the clinical presentation, diagnostic approach, and treatment of testicular tumors through a case report of a boy with an endodermal sinus tumor.
Case report: A sixteen-month-old boy was referred for a pediatric evaluation due to painless scrotal mass. Physical examination revealed a hard, painless, palpable mass in the right scrotum, and laboratory tests showed high levels of serum alpha-fetoprotein. Ultrasound and computed tomography of the testicles, pelvis and abdomen demonstrated a testicular tumor with neovascularization. A radical right-sided orchiectomy was performed. Histopathological analysis established the diagnosis of a prepubertal yolk sac tumor (endodermal sinus tumor). The boy was regularly followed-up clinically, with laboratory tests and ultrasound imaging. Four years after surgery, he is in remission, with normal growth and development.
Conclusion: The suspicion of a malignant tumor in a boy with testicular enlargement, combined with prompt laboratory and imaging evaluations, allows for the best possible therapeutic approach and outcome.
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