Laparoscopy-assisted resection of a giant intra-abdominal seminoma in an adult undescended testis

The incidence of cryptorchidism in infants is 3.3-5.8%, incidence in adults is not known. Cryptorchidism in adults is not uncommon in India for various reasons. Orchiectomy is the best option as malignant transformation of the undescended testis is a very real risk. Our patient was 52 years old with an empty left hemiscrotum and a large lower abdominal swelling. Laparoscopy-assisted resection was performed successfully. Pathology and PLAP studies confirmed seminoma. Chemotherapy is being planned. Laparoscopy has a definite role in the diagnosis [determines exact location] and treatment of cryptorchidism. Both laparoscopic orchiopexy and orchiectomy have been described in the literature

rare cause of intermittent dysphagia: giant fibrovascular polyp of the proximal esophagus

Fibrovascular polyps account for only 0.5-1% of all benign esophageal tumors and causes intermittent dysphagia. The patient was a 63-year-old gentleman with gradually progressive intermittent dysphagia of 40 days duration. Investigations revealed a submucosal tumor of the proximal esophagus causing luminal compromise. Excision was performed through a cervical esophagotomy and specimen was subject to histopathological examination. Postoperative recovery was uneventful and he was completely relieved of his symptoms