Title: Pelvic Recurrence of a Seminoma on an Undiagnosed Ectopic Testis After BEP Chemotherapy: A Case Report
Authors: Abdessamad Ahlimine, Chaymae Moradi , Omar Marghich, Abdesslam Bouassria , Ouadii Mouaqit, Elbachir Benjelloun, Khalid Ait Taleb, Hicham Elbouhaddouti.
Volume: 9
Issue: 5
Pages: 50-54
Publication Date: 2025/05/28
Abstract:
Background: Seminomas are highly treatable germ cell tumors, but rare recurrences can occur, particularly in patients with undiagnosed ectopic testicular tissue. Case Presentation: A 42-year-old male with a history of metastatic seminoma (retroperitoneal lymph node involvement) treated with BEP chemotherapy presented months later with a pelvic mass. Imaging revealed a 142 mm lesion consistent with malignant degeneration of an ectopic testis. PET-CT confirmed hypermetabolic activity, prompting surgical resection. Conclusion: This case highlights the need for thorough initial evaluation to identify ectopic testes and emphasizes vigilant follow-up to detect late recurrences.