Three primary testicular tumours: Trials and tribulations of testicular preservation

Authors

  • Connor M Forbes Department of Urologic Sciences, University of British Columbia
  • Charles Metcalfe Department of Urologic Sciences, University of British Columbia
  • Nevin Murray Department of Medical Oncology, Vancouver Cancer Center, BC Cancer Agency, University of British Columbia
  • Peter C Black Department of Urologic Sciences, University of British Columbia

DOI:

https://doi.org/10.5489/cuaj.1260

Keywords:

Testicular Neoplasm, Multiple Primary Neoplasms, Partial Orchiectomy, Radical Orchiectomy, Treatment.

Abstract

Balancing recurrence risk, side effects and patient preference in the treatment of multiple metachronous testicular tumours can be challenging. We present the case of a young male patient who developed 3 different primary testicular neoplasms over an 8-year period, each associated with retroperitoneal lymphadenopathy requiring chemotherapy. The first tumour at age 19 was managed with radical orchiectomy. Four years later, a partial orchiectomy was performed to remove 2 small lesions. Another 4 years later, a complete orchiectomy was required for an additional tumour. This case highlights the caveats of testis-sparing surgery for testis cancer and the need for careful surveillance in these patients.

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Author Biographies

Connor M Forbes, Department of Urologic Sciences, University of British Columbia

Medical Student

Department of Urologic Sciences

University of British Columbia

Charles Metcalfe, Department of Urologic Sciences, University of British Columbia

Resident

Department of Urologic Sciences

University of British Columbia

Nevin Murray, Department of Medical Oncology, Vancouver Cancer Center, BC Cancer Agency, University of British Columbia

Clinical Professor

Department of Medical Oncology

Vancouver Cancer Center

BC Cancer Agency

University of British Columbia

Peter C Black, Department of Urologic Sciences, University of British Columbia

Assistant Professor

Department of Urologic Sciences

University of British Columbia

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Published

2013-10-09

How to Cite

Forbes, C. M., Metcalfe, C., Murray, N., & Black, P. C. (2013). Three primary testicular tumours: Trials and tribulations of testicular preservation. Canadian Urological Association Journal, 7(9-10), e630–3. https://doi.org/10.5489/cuaj.1260

Issue

Section

Case Report