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

ABSTRACT

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