Hydrocele Masking Testicular Tumour With Extensive Nodal Disease: A Case Report and Literature Review.

delayed diagnosis metastatic testicular cancer primary hydrocele scrotal lump testicular swelling

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Aug 2023
Historique:
accepted: 14 08 2023
medline: 15 9 2023
pubmed: 15 9 2023
entrez: 15 9 2023
Statut: epublish

Résumé

Hydrocele is one of the most common causes of scrotal swellings. Fluid accumulation within the tunica vaginalis, a remnant of the peritoneum covering the testicle, leads to scrotal swelling. It is known to be a benign condition with no subsequent complications apart from increasing in size causing discomfort. Some patients could cope with the swelling effect and continue their life with no desire for further management while others are not fit for surgical intervention and would be treated conservatively with the same concept. However, once the testicle becomes swollen by the surrounding fluid, it would be difficult to examine the testicle itself even by an expert physician. We present here a 46-year-old patient who has been diagnosed with right hydrocele for a long time. The patient noticed general weakness and loss of weight. Initial investigations showed iron deficiency anemia and imaging showed retroperitoneal lymphadenopathy. Eventually, testicular ultrasonography showed a right testicular tumour that was masked by a hydrocele, resulting in delayed presentation of metastatic testicular cancer.

Identifiants

pubmed: 37711955
doi: 10.7759/cureus.43455
pmc: PMC10498657
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e43455

Informations de copyright

Copyright © 2023, Sayedin et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Urol Case Rep. 2021 Sep 28;39:101868
pubmed: 34646739
Turk J Pediatr. 2004;46 Suppl:18-27
pubmed: 15499794
Arch Ital Urol Androl. 2010 Dec;82(4):287-90
pubmed: 21341584
Oncol Lett. 2014 Jun;7(6):1793-1795
pubmed: 24932235
Lancet. 1985 Aug 24;2(8452):419-21
pubmed: 2863447
BJU Int. 2009 Nov;104(9 Pt B):1329-33
pubmed: 19840008
Adv Urol. 2014;2014:202434
pubmed: 24817884
Filaria J. 2003 Mar 19;2(1):7
pubmed: 12694630
Pediatr Surg Int. 2003 Apr;19(1-2):68-70
pubmed: 12721728
Histopathology. 2022 Oct;81(4):459-466
pubmed: 35502823
Curr Urol. 2017 Apr;10(1):1-14
pubmed: 28559772
J Urol. 1982 Aug;128(2):315-20
pubmed: 7109099
Urol Case Rep. 2020 Dec 05;35:101520
pubmed: 33318945
Discoveries (Craiova). 2022 Jun 30;10(2):e149
pubmed: 36530178

Auteurs

Hani Sayedin (H)

Urology, Warrington and Halton Teaching Hospitals NHS Foundation Trust, Warrington, GBR.

Ramandeep Chalokia (R)

Urology, Warrington and Halton Teaching Hospitals NHS Foundation Trust, Warrington, GBR.

Rene Woderich (R)

Urology, Warrington and Halton Teaching Hospitals NHS Foundation Trust, Warrington, GBR.

Classifications MeSH