Spermatocytic Tumour - A Case Report of a Rare Testicular Cancer

A spermatocytic tumour was previously known as spermatocytic seminoma, but now it is considered a distinct entity from Germ cell tumors.It is rare and accounts for less than 1% of testicular tumors.The peak incidence of spermatocytic tumors is sixth decade.It follows a benign course, and only a few cases of metastasis are being reported.It is almost always cured by orchiectomy. Considering the rarity of the disease and the absence of large prospective studies, no guideline is available to suggest whether adjuvant therapy should be given. Only a few authors suggest giving adjuvant Radiotherapy or Chemotherapy in patients with poor histologic elements like sarcomatous or anaplastic types. The present study describes the case of a 49 -year -old male, who visited the authors' clinic when he noticed a painless mass in the right testis. On examination, there was a small hard mass palpable in the right testis, left testis was normal. Serum tumor markers were not raised. Imaging showed a complex mass in the right testis of size 3x3x4 cm with no enlarged lymph nodes. A right -side radical orchiectomy was done under spinal anesthesia. Histopathological examination and Immunohistochemistry showed a spermatocytic tumor. No metastasis on CT was detected in the post -operative period and a follow -up period of one year. This case report highlights the rare testicular tumor. Early diagnosis and proper treatment are crucial for a good prognosis.