A patient in the older age group had inguinal orchiectomy due to non-discrimination of scrotal mass, continuing clinical suspect of scrotal mass and high level of tumor possibility, after was determined to have paratesticular RMS.
1-3) Although standard therapy for testicular cancer is radical inguinal orchiectomy, in patients with bilateral tumours or tumour in a solitary testis, orchiectomy will lead to infertility and hormonal deficiency.
He was two months status post radical inguinal orchiectomy for right testicular mature teratoma with retroperitoneal and mediastinal nodal metastases, with no follow up after surgery because of a lack of health insurance.
A cystoscopy, prior to starting the left inguinal orchiectomy, was done (given his history of PUNLMP) and showed a small subcentimeter hyperemic nodular area in the bladder base, just anterior to the trigone, which was biopsied.
Radical inguinal orchiectomy followed by retroperitoneal lymph node dissection is recommended for all children over the age of 10 and for those younger than 10 years old with the retroperitoneal disease.