Differently from classic SS, where a sarcomatous component is present; greater benefits are obtained if the treatment includes radiotherapy and adjuvant chemotherapy in addition to radical inguinal orchiectomy (3,6).
 Ultrasonography: Large Scrotal exploration scrotal hematoma Inguinal orchiectomy Computed tomography: Large right-sided hematocele of mixed attenuation consistent with acute hemorrhage and evidence of extravasation of contrast at the superior pole of the hematocele
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.
The standard treatment for all testicular tumors in adults is radical inguinal orchiectomy. In the setting of a pure teratoma with advanced disease and elevation of tumor markers, chemotherapy is the systemic therapy of choice .
A Lichtenstein surgical technique was performed with inguinal orchiectomy. The pathologist indicated the presence of saccular proliferation in the wall of the hernia with cysts and simple epithelium without stromal invasion (Figure 1(a)).
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.
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.