DOI: 10.36347/sjmcr.2016.v04i07.022

Pages: 531-533

A case of malignant change within an intra-abdominal testis is reported. The development in a 30 year old man of a malignant testicular lesion (seminoma) on histological examination, the absence of serum tumour markers in the presence of a seminoma and the presence of local invasive spread--all uncommon features of testicular tumours together with its management by neoadjuvant chemotherapy followed by surgery--in combination make this a rare case. Orchiopexy does not reduce the risk of malignant transformation and in the post pubertal patient does not affect spermatogenesis. Orchiectomy is therefore advised for all maldescended testes and should be considered mandatory for all intra-abdominal testes.