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Postgrad Med J 1999;75:481-483 doi:10.1136/pgmj.75.886.481
  • Short report

A lesson in the management of testicular cancer in a patient with a solitary testis

  1. E J Sawyera,
  2. R T D Oliverb,
  3. J S Tobiasa,
  4. D F Badenochc
  1. aMeyerstein Institute of Oncology, The Middlesex Hospital, London W1N 8AA, UK, bSt Bartholomew's Hospital, London EC1A 7BE, UK Department of Medical Oncology, cDepartment of Urology
  1. Dr EJ Sawyer, Molecular and Population Genetics Laboratory, Imperial Cancer Research Fund, 44, Lincolns Inn Fields, London WC2A 3PX, UK
  • Accepted 14 January 1999

Abstract

Five per cent of patients with germ cell tumours of the testis will develop a further tumour in the contralateral testis. Standard treatment in such cases is a second orchidectomy, resulting in infertility, hormone replacement, and psychological morbidity. In this case report we explore the role of testis conservation in these patients and also show that there is a risk of removing a potentially normal testis if a histological diagnosis is not sought prior to orchidectomy.

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