Intra-abdominal seminomas in bilateral undescended testes in a patient with Persistent Mullerian Duct Syndrome.

Autor: Hagjer, Sumitra, Patil, Abhishek, Paul, Anupam, Mazumder, Asik, Daimary, Michimi
Zdroj: Hellenic Journal of Surgery; Nov2015, Vol. 87 Issue 6, p493-496, 4p
Abstrakt: Persistent Mullerian Duct Syndrome (PMDS) is a rare form of male pseudohermaphroditism characterized by the presence of Mullerian duct structures in an otherwise phenotypically and genotypically normal male. We present the case of a 30-year-old male patient with high levels of serum beta human chorionic gonadotrophin (β-HCG) who was subjected to exploration with a preoperative presumptive diagnosis of a tumour in undescended, abdominal testes made on the basis of a detailed history, clinical and radiological examination (USG & CT Abdomen). On exploration, bilateral testicular tumour masses (subsequently proven to be seminomas on histopathology) and an unrecognizable pelvic structure (subsequently proven to be a uterus on histopathology) were removed. The patient refused chemotherapy and was followed up further for six months without any evidence of disease recurrence. [ABSTRACT FROM AUTHOR]
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