| A 33-year-old male diagnosed with KS and with a history of bilateral sinusitis, bronchiectasis and retinal detachment of the right eye that consulted for increased testicular size and induration. | |
| The patient reported no other accompanying symptoms except lumbar pain radiating to the left testicle. | |
| The examination showed an increase in testicular volume, painless and with a stony consistency suggestive of neoplasia. | |
| No adenopathies. | |
| 1. | |
| The ultrasound showed signs compatible with testicular tumor seminoma type without locoregional ganglia. | |
| On chest X-ray, situs instillus was observed, as evidenced by the apex of the cardiac silhouette and the gastric gas chamber dcha and some left lower lobe achiectasis with probable blobulasis. | |
| 1. | |
| Analytical analysis determined LDH: 340 (230-460); GOT: 44 (2-37); GPT: 44 (2-37). | |
| Tumor markers: a-fetoprotein 1.1 ng/ml (1-7) and b-HCG <5.0 mIU/ml. | |
| Inguinal orchiectomy was performed under spinal anesthesia at L3-L4 level with hyperbaric bupivacaine and testicular prosthesis was placed. | |
| The anatomopathological result was a classic seminoma of 2.5 cm in diameter that affects the albuginea (without exceeding it) and respects the epididymis, the rete testis, the surgical cord seal. | |
| There was no evidence of vascular invasion. | |
| Intratubular germ cell neoplasm. | |
| Fibrosis and tubular hyalinization of non-tumoral testis. | |
| With the diagnosis of grade I seminoma without criteria of poor prognosis and according to the imaging service, it was decided not to apply additional treatment, observing after one year of follow-up biochemical normality of tumor parameters and being negative by physical examination as well | |
| After orchiectomy two spermiograms were performed with the result in both azoospermia. | |