Yolk sac tumor in intraabdominal undescended testis in a child with normal serum alpha-fetoprotein: a rare case report
| Title: | Yolk sac tumor in intraabdominal undescended testis in a child with normal serum alpha-fetoprotein: a rare case report |
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| Authors: | Archika Gupta, Shiv Narain Kureel, Shalini Bhalla, Anand Pandey, Gurmeet Singh, Rahul Kumar Rai, Survesh Kumar Gupta |
| Source: | African Journal of Urology, Vol 26, Iss 1, Pp 1-5 (2020) |
| Publisher Information: | SpringerOpen, 2020. |
| Publication Year: | 2020 |
| Collection: | LCC:Diseases of the genitourinary system. Urology |
| Subject Terms: | Case report, Intraabdominal testicular tumor, Testicular tumors, Testicular tumors in prepubertal children, Tumors in undescended testis, Diseases of the genitourinary system. Urology, RC870-923 |
| More Details: | Abstract Background Intraabdominal testicular tumors are rare in prepubertal children, and most of the cases reported are intraabdominal testicular teratoma. The present study reports the first case of intraabdominal testicular yolk sac tumor (YST) with normal preoperative serum alpha-fetoprotein levels and diagnosis confirmed on histopathology and immunohistochemistry. Case Presentation A 2-year-old boy presented with bilateral nonpalpable undescended testes (UDT) and abdominal mass. Preoperative serum alpha-fetoprotein was normal. Contrast-enhanced computed tomography (CECT) scan of whole abdomen revealed a heterogeneous mildly enhancing space-occupying lesion in midline and left side of pelvis, left intraabdominal testis and nonvisualization of right testis. During surgery, the mass was found to involve right testis with one turn of torsion of its pedicle. Derotation of testis was performed, and right radical orchiectomy was performed. Left orchiopexy was also performed at the same time. Histopathology and immunohistochemistry confirmed diagnosis of intraabdominal testicular YST. There was no recurrence or distant metastasis at 12-month follow-up after surgery. Conclusion In a case of nonpalpable UDT and abdominal mass/pain, one should always consider possibility of intraabdominal testicular tumor and should investigate the case with serum tumor markers and ultrasound/CECT abdomen. Further, histology of tumor helps in guiding treatment of condition. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1110-5704 1961-9987 |
| Relation: | https://doaj.org/toc/1110-5704; https://doaj.org/toc/1961-9987 |
| DOI: | 10.1186/s12301-020-00093-y |
| Access URL: | https://doaj.org/article/c73f37a287b946ee96ecb2c2989c33b0 |
| Accession Number: | edsdoj.73f37a287b946ee96ecb2c2989c33b0 |
| Database: | Directory of Open Access Journals |
| ISSN: | 11105704 19619987 |
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| DOI: | 10.1186/s12301-020-00093-y |
| Published in: | African Journal of Urology |
| Language: | English |