Table 1.

Clinical and Pathological Characteristics.

Parameter Value
Age (mean; range), years 39.5; 17–66
Origin
  European Jews 18
  Non-European Jews 3
  Christian Arabs 3
  Moslem Arabs 2
Place of birth
  Europe 3
  Israel 21
  USA 1
  Russia 1
Accompanying local conditions
  Hernioplasty 1
  Cryptorchidism 4
  Hydrocele 2
  Cryptorchidism, bilateral 2
Disease sites
  Left testicle 11
  Right testicle 14
  Bilateral 1
Presenting symptoms
  Testicular enlargement/swelling 13
  Palpable mass 16
  Testicular pain 4
  Abdominal/pelvic pain 7
  Supraclavicular palpable mass 1
Duration of symptoms (mean; range), months a 1.4; 1–12
Radiological measures
  Testicular ultrasound 26
  IVP 1
  Lymphography 1
  CT 26
  Abdominal ultrasound 5
  PET-CT 6
Elevated tumor markers
  B-Human chorionic gonadotropin 8
  Lactic dehydrogenase 12
Staging
  IIB 7
  IIC 16
  IIIA 3
Testicular pathology (post-orchiectomy)
  Pure (classical) seminoma 26 b
  Invasion of:
    Tunica vaginalis 5
    Lympho-vascular spaces 5
    Spermatic cord 2
    Rete testis 2
    Epididymis 2
    IGCN 4
Testicular seminoma pathological staging
  T1 21
  T2 3 c
  T3 2 d

Notes

aThree patients presented with symptom duration of 1, 2, and 4 years.
bThe abdominal masses developed in the majority of patients simultaneously with the testicular seminoma.
cAll T2 patients demonstrated invasion of the tunica vaginalis or epididymis with lympho-vascular invasion.
dThe T3 patients exhibited spermatic cord invasion.

IVP, intravenous pyelography; CT, whole-body computerized tomography scans; PET-CT, positron emission tomography scans; IGCN, intratubular germ cell neoplasm.

RMMJ Rambam Maimonides Medical Journal Rambam Health Care Campus 2014 January; 5(1): e0005. ISSN: 2076-9172
Published online 2014 January 21. doi: 10.5041/RMMJ.10139.