BILATERAL SYNCHRONOUS TESTICULAR GERM CELL TUMORS

Abstract

A 23-year-old male presented with history of feeling of heaviness in the lower abdomen, indigestion and constipation since 3 months. Pain and discomfort appeared two weeks ago. He denied any history of injury or previous surgery to the testicles. On examination, he was found to have unilateral, firm and nontender masses in right testis. Left scrotal sac was underdeveloped and empty. Ultrasound done showed right testis was enlarged in size and measured 9.2 cms , The entire parenchyma was replaced by multiple hypoechoic mass lesions, Color Doppler showed increased flow. Left testis was undescended and seen in left side of pelvis , It was also enlarged in size and measured 9.0 cms. The entire testicular parenchyma was replaced by multiple hypoechoic mass lesions. Color Doppler showed increased flow. The diagnosis was germ cell tumor of both testes. Beta HCG and Alpha fetoprotein were recommended.