Page 35 - SONO 260 Chapter 13 The Male Pelvis
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PATHOLOGY OF THE SCROTUM SEMINOMA
• THE SEMINOMA IS THE MOST COMMON MALIGNANT NEOPLASM OF THE TESTICLES.
• THE SEMINOMA IS A GERM CELL TUMOR THAT IS TYPICALLY FOUND IN MALES BETWEEN 30 AND 50 YEARS OF AGE.
• THIS TYPE OF MALIGNANT TUMOR IS OFTEN FOUND IN PATIENTS SUFFERING FROM CRYPTORCHIDISM AS WELL.
• MOST SEMINOMAS ARE UNILATERAL AND MAY ACTUALLY REPLACE THE ENTIRE TESTICLE.
• CLINICALLY, PATIENTS WILL PRESENT WITH A PAINLESS SCROTAL MASS, HARDENING OF THE TESTIS, AND AN ELEVATED HCG LEVEL.
• A SEMINOMA HAS AN INTRATESTICULAR LOCATION AND WILL APPEAR AS A SOLID, HYPOECHOIC MASS.
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