Case Report
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Urol. Mar 24, 2017; 6(1): 27-29
Published online Mar 24, 2017. doi: 10.5410/wjcu.v6.i1.27
Classical seminoma in a 92-year-old patient
Catharine Denning, Li June Tay, James Carton, Kaka Hama Attar
Catharine Denning, Li June Tay, James Carton, Kaka Hama Attar, Department of Urology, Chelsea and Westminster Hospital, London SW10 9NH, United Kingdom
Author contributions: The manuscript is original work of all authors; all authors made a significant contribution to this study; all authors have read and approved the final version of the manuscript; the principal author of this report is Denning C; Denning C also collected the majority of patient information and data; Tay LJ helped collect data and reviewed the writing of this case report; Carton J provided his expert histopathological opinion on this case and provided specimen histopathology slide pictures; Attar KH was the consultant in charge of this patient’s case; he provided his expert opinion and was the over-all reviewer and consultant in the writing of this report.
Institutional review board statement: Chelsea and Westminster Review Board.
Informed consent statement: N/A, patient deceased with no next of kin.
Conflict-of-interest statement: The manuscript is being submitted by me, Dr. Catharine Denning on behalf of all the authors. This manuscript has not been submitted for publication; it has not been accepted for publication and has not been published in any other journal. There is no conflict of interest from any author, including but not limited to commercial, personal, political, intellectual, or religious interests.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Catharine Denning, Department of Urology, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, United Kingdom. drcdenning@gmail.com
Telephone: +44-7795-387870
Received: August 17, 2016
Peer-review started: August 18, 2016
First decision: September 6, 2016
Revised: December 8, 2016
Accepted: December 27, 2016
Article in press: December 29, 2016
Published online: March 24, 2017
Abstract

Seminoma is a germ cell tumour which primarily affects the testes. Seminomas are treated by orchidectomy with usually excellent outcomes. We report the occurrence of a classical seminoma in a 92-year-old man, who is currently the oldest patient with this histology reported in literature. He presented with a painful, swollen testis. Scrotal ultrasound scan revealed a testicular mass. A left inguinal orchidectomy was carried out and histological examination confirmed the diagnosis of a classical seminoma. Further staging by computerised tomography revealed pulmonary lesions suspicious of metastases. The patient declined further treatment in view of his age and co-morbidities.

Keywords: Urology, Geriatrics, Seminoma, Medical oncology

Core tip: This is the first case in the literature which describes the occurrence of such a tumour in patients over the age of 90 and should raise the index of suspicion for malignant testicular tumours in elderly patients where infectious causes of testicular swellings are by far the most common.