The 3,550 g challenge: an atypical presentation of a 3.5 kg seminoma manifesting as dry skin
Omorphos, Nicolas Mohsin, Mohamed Shamil Mok, Spencer Kitchen, Mark Ho, Kuo J
Omorphos, Nicolas
Mohsin, Mohamed Shamil
Mok, Spencer
Kitchen, Mark
Ho, Kuo J
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Publication date
2025-07-02
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Abstract
A 43-year-old male presented to the emergency department with a seven-year history of progressive left-sided scrotal swelling. On examination, a large mass was palpable in the left hemiscrotum, accompanied by eczema-like skin changes and a decubitus ulcer. Tumor markers were significantly elevated, particularly lactate dehydrogenase, and an urgent ultrasound confirmed the presence of a testicular tumor. CT revealed a scrotal mass originating from the left testis, along with bilateral inguinal lymphadenopathy. The patient underwent a left inguinal orchidectomy, and histopathological analysis confirmed a 3,550 g classical seminoma. He was subsequently referred to oncology for adjuvant chemotherapy.
Citation
Omorphos N, Mohsin MS, Mok S, Kitchen M, Ho KJ. The 3,550 g Challenge: An Atypical Presentation of a 3.5 kg Seminoma Manifesting as Dry Skin. Cureus. 2025 Jul 2;17(7):e87174. doi: 10.7759/cureus.87174.
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Report