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2014, Volume 30, Number 1, Page(s) 069-072
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DOI: 10.5146/tjpath.2013.01201 |
Seminoma Presenting as a Polypoid Bladder Mass: A Case Report |
Afaf ALSOLAMİ1, Mohammed ALOTAİBİ2, Shouki BAZARBASHİ3, Abdulmonem ALMUTAWA4, Mohammed AKHTAR4 |
1Department of Pathology and Laboratory Medicine, King Khalid University Hospital, RIYADH, KINGDOM of SAUDI ARABIA
2Departments of Urology, King Faisal Specialist Hospital and Research Centre, Riyadh, KINGDOM of SAUDI ARABIA
3Departments of Medical Oncology, King Faisal Specialist Hospital and Research Centre, Riyadh, KINGDOM of SAUDI ARABIA
4 Departments of Pathology and Laboratory Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, KINGDOM of SAUDI ARABIA |
Keywords:
Seminoma, Urinary bladder, Germ cell tumors, Hematuria |
We report a case of extragonadal seminoma presenting as a polypoid
mass in the urinary bladder. The patient presented with two months
history of hematuria. Evaluation by CT scan and cystoscopic
examination revealed a polypoid mass in the base of the bladder.
Biopsy of the mass revealed a classical type of seminoma. The
diagnosis of seminoma was supported by strong immunostaining
of the tumor cells for C-Kit and placental alkaline phosphatase.
Thorough physical examination and radiologic imaging of other
organ systems failed to reveal any other tumor. Both testes were
found to be normal on examination and on ultrasound imaging.
Patient responded well to chemotherapy. This case is unique because
to the best of our knowledge there are no previously reported cases in
the literature with seminoma presenting as a bladder mass.
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