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RESIDENT’S CORNER

Surgical approach of giant testicular cancer. Case report and literature review

Mana Al-Assiri, Zorn Kevin, Saleh Binsaleh, Peter T. K. Chan

Department of Urology, Royal Victoria Hospital, McGill University Health Centre, Montreal, Quebec, Canada
Address correspondence to Dr. Peter Chan, S 6.95, Department of Urology, Royal Victoria Hospital, McGill University Health Centre, 687 Pine West, Montreal, Quebec H3A 1A1 Canada

Canadian Journal of Urology 2005, 12(1), 2557-2559.

Abstract

Testicular cancer, which generally presents as a scrotal mass of variable sizes, is amongst the most common malignancies in men in the 15- to 35- year age group. A high inguinal orchiectomy is the standard approach for removal of a scrotal mass suspicious of being malignant. A recent report described a combined use of an inguinal incision, for early clamping of the spermatic cord, and a scrotal incision for orchiectomy of a large size testicular seminoma.1 We hereby report a case of a large size testis cancer removed using a single oblique inguinoscrotal incision. This approach allows inguinal delivery of a large size of scrotal mass without additional concerns of scrotal tumor spillage and violation of tunica vaginalis.

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