Publication: Unresolved abdominal mass
Date
2009
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Abstract
A case of huge enhancing solid mass in the abdomen observed in 30 years old gentlemen is reported. Patient was worked
up and managed conservatively outside valley with the provisional diagnosis of an appendicular lump.
When examined, he was found to have huge intra abdominal mass. Interestingly when the genitalia was examined
he was found to have underdeveloped empty scrotum without testes in it which he was yet not bothered. This simple
examination gave us a straight clue to come up with the diagnosis of malignancy in undescended testes.
Laparotomy was performed and the mass was excised. After 6 weeks postoperatively he was subjected for the chemotherapy.
After3 cycles of chemotherapy CT scan showed complete disappearance of retroperitoneal lymphadenopathy and serum
tumor markers have come down to normal level.
Key words: Germ cell tumor (GCT), Seminoma, Non seminomatous germ cell tumor, (NSGCT), Cryptorchidism,
Alpha fetoprotein (AFP), Beta human chorionic gonadotrophin (BHCG), Lactate dehydrogenase (LDH)
Description
Shrestha B, Baidya JL
Section of Urology, B&B Kathmandu University Hospital, Gwarko