Presentation
Gradual, painless testicular swelling
Patient Data
Age: 35 years
Gender: Male
From the case:
Testicular multifocal seminoma
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The scrotum and tunicae appear preserved. Tiny scrotolith on the right.
The right testis is of normal size and echotexture. Normal arterial flow.
The left testis is mildly enlarged by several hypoechoic structures (at least three), the largest of which measures 15 x 21 mm. Arterial flow is mildly increased.
Both the epididymides appear normal. Tiny cyst in the head of the left epididymis.
No evidence of hydrocele or varicocele.
Case Discussion
Several hypoechoic masses in the left testis, most probably a primary tumor (multifocal seminoma).
The testis was removed but no pathology report is available.
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