Spermatocytic Tumor of Testis In 31 Year Old Male Patient: A Rare Case Report

Abstract

Case summary: 31-year-old male presented with swelling in left scrotum since 2 years. Patient was apparently alright 2 years back but later on he started having increase in testicular size progressively and had a episode of perrectal bleeding 20 days back. Contrast-enhanced MRI of pelvis showed a large heterogeneous lesion measuring 12x9x7 cm involving left testis. There is enhancement and diffuse restriction,?neoplastic nature,?germ cell tumor of left testis.  Left orchidectomy was done and the specimen was sent to pathology department. On histopathology and IHC examination, the features were consistent with spermatocytic tumor. Spermatocytic tumor indeed, is a rare but distinct subtype of testicular germ cell tumor, comprising about 1% of all testicular germ cell tumors and a small percentage of all seminomas. Its occurrence is primarily in older males, typically in the 5th and 6th decades of life, distinguishes it from classic seminoma, which is more common in younger age groups. Histopathology and immunohistochemistry are necessary for confirmatory diagnosis.

Keywords: Testicular tumor, Germ cell tumor, Spermatocytic tumor.