PMC4898249_01
Right inguinal mass, hard and fixed to adjacent tissues
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Five years later, a hard bulky mass, fixed to adjacent tissues, was observed in the right inguinal region (Figure 1).
(A) Computed tomography showed a right testicular mass in contiguity with the ipsilateral inguinal canal; (B) hydronephrosis on the right due to compression by the scrotal mass that extended to the retroperitoneum
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Computed tomography (CT) of abdomen and pelvis showed a right testicular mass with contiguity to the inguinal canal up to the ipsilateral retroperitoneum, associated to right hydronephrosis (Figures 2A and 2B).
(A) Right radical orchiectomy of an inguinal mass related to a cryptorchid testis tumor. (B) Testicular mass and peritesticular lymph node after orchiectomy
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Inguinotomy was performed and an enlarged and hard peritesticular lymph node was excised (Figures 3A and 3B).
(A) Histology demonstrating anarchic cell hyperproliferation suggestive of leukemia. (B) Immunohistochemistry for myeloperoxidase revealed acute myeloid leukemia
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The pathological report was diffuse infiltration by AML in testis and peritesticular lymph node (Figures 4A and 4B).