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Title: Spermatocytic seminoma with sarcoma: an indication for adjuvant chemotherapy in localized disease.
Authors: Wetherell, David;Lawrentschuk, Nathan L ;Gyomber, Dennis
Affiliation: Department of Urology, University of Melbourne, Austin Hospital, Heidelberg, Australia.
Issue Date: 10-Dec-2013
Citation: Korean Journal of Urology 2013; 54(12): 884-7
Abstract: Spermatocytic seminoma (SCS) with sarcoma is an extremely rare testicular tumor with only 11 cases previously described in the literature. We present the 12th case of SCS with sarcoma in a 29-year-old male. SCS itself is an uncommon germ cell tumor with a relatively indolent clinical course that mostly affects males around the fifth decade of life. Sarcomatous differentiation of SCS occurs in 5% to 6% of cases and correlates with a higher possibility of metastatic disease and a poor prognosis. Clinically, this tumor manifests as a slow-growing testicular mass often with an accelerated period of secondary growth. After a concise review of the literature, we conclude that SCS with sarcoma should be treated by radical inguinal orchidectomy with strong consideration given to adjuvant chemotherapy.
Internal ID Number: 24363873
DOI: 10.4111/kju.2013.54.12.884
Type: Journal Article
Subjects: Orchiectomy
Testicular neoplasms
Appears in Collections:Journal articles

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