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Case Report
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| Rare sequelae of a testicular tumor: A 'burnt-out' tumor | ||||||
| Francesca Kum1, Faisal Ghumman2, Matin Sheriff3 | ||||||
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1MBBS, BSc, Foundation Year 2 Doctor, Department of Urology, Medway Maritime Hospital, UK.
2FRCS(Urol), FCPS(Pak), Urology Specialist Registrar, Department of Urology, Medway Maritime Hospital, UK. 3PhD, FRCS, FRCS(Urol), FEBU, Consultant Urological Surgeon, Department of Urology, Medway Maritime Hospital, Canterbury and Christ Church University, UK. | ||||||
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| How to cite this article |
| Kum F, Ghumman F, Sheriff M. Rare sequelae of a testicular tumor: A 'burnt-out' tumor. Int J Case Rep Images 2015;6(1):16–20. |
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Abstract
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Introduction:
Testicular tumors typically present as a palpable lump. Some tumors have been known to spontaneously regress, thus have been referred to as 'burnt-out' tumors or vanishing tumors.
Case Report: A 28-year-old male was seen in urology clinic with clinical findings of a small atrophic left testis, with a prior history of a painful left testicular lump not responsive to antibiotics, which had spontaneously resolved. Ultrasound scan revealed an initial solid testicular lesion of 19x12x10 mm with internal vascularity, which upon repeat ultrasound scan two months later found a 12-mm coarse calcification and a hypoechoic region, but regression of the initial solid lesion. The diagnosis of a burnt-out tumor was made and he underwent urgent radical orchidectomy and prosthesis insertion. Computed tomoraphy (CT) staging scan showed significant paraortic lymphadenopathy, therefore the patient further underwent chemotherapy. Treatment has been successful and the patient is progressing well with no complications. Conclusion: The diagnosis of a burnt-out testicular tumor is an important differential to consider in patients with spontaneously regressing testicular lumps, abnormal findings on ultrasound scan and subsequent presentation of testicular atrophy of unknown cause. This diagnosis should also be considered in patients with secondary metastatic tumors of unknown primary. | |
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Keywords:
Burnt-out tumor, Cancer, Fast-track (2-week-wait) referral, Orchidectomy, Self-resolving tumor, Testicular cancer, Testicular tumor, Vanishing tumor
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Author Contributions
Francesca Kum – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Faisal Ghumman – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Matin Sheriff – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Francesca Kum et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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About The Authors
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