Inguinal orchiectomy for the extra testis with suspected tumor in a polyorchidic patient: a case report

A 29-years-old male patient presented with complaint of the small size of his left testicle. The physical examination revealed a normal right testicle with 15 cc volume, a small left testicle (5 cc) and a 4 cc mass under the left testicle, which was thought to be a spermatocele. Ultrasonographic imaging was performed and the mass was defined as a third testicle with a heterogenic epididymis. Scrotal magnetic resonance imaging (MRI) confirmed the diagnosis. An inguinal exploration was performed, which resulted in a left orchiectomy and biopsy of the superior left testicle.The pathologic examination revealed hyperplasia with microcystic changes in the orchiectomy specimen and severe hypospermatogenesis in the biopsy sample. There were no significant changes in semen analysis after the operation

Neuroblastoma diagnosed after surgery for a benign condition

We report a case of neuroblastoma diagnosed in an infant 8 months old who was being followed-up due to antenatal hydronephrosis. Postnatal imaging findings were suggestive of bilateral UPJ obstruction. Left pyeloplasty was performed on the postnatal third month. An emergent early postoperative CT scan, performed due to considerable decrease in Hb/Htc values, revealed negative results for any kind of collection or tumor. At the postoperative fourth month, USG revealed a solid left adrenal mass. Blood and urine test results were suggestive of neuroblastoma. On surgical exploration adrenal mass was excised. Pathologic examination confirmed the diagnosis of neuroblastoma. Patient had stage 1 disease with favourable histopathologic features. This low-risk tumor, can be treated with primary surgery alone with excellent outcomes. Neuroblastoma either detected by mass screening programs or diagnosed incidentally on urinary tract imaging expected to be localized and have a good prognosis