Chasing the uncommon: Intra-Abdominal Testicular Tumors case report

Undescended testicles, a common congenital anomaly, can increase the risk of developing testicular tumors. This case report presents the unique occurrence of an intra-abdominal testicular tumor in a 30-year-old male with a history of cryptorchidism. The patient experienced persistent hypogastric pain, and diagnostic evaluation revealed elevated tumor markers, further indicating the presence of a testicular tumor. Surgical exploration confirmed a 256g differentiated seminoma within the peritoneal cavity. The discussion highlights the increased risk of malignancy associated with cryptorchidism, the limited preventive impact of orchidopexy, and the challenges in early diagnosis due to the non-palpable nature of these tumors. It emphasizes the need for awareness, early diagnosis, and ongoing research to improve the management of intra-abdominal testicular tumors in individuals with cryptorchidism and enhance patient outcomes.隐睾（Undescended testicles）作为一种常见的先天性异常，可提升睾丸肿瘤的发病风险。本病例报告报道了1例伴隐睾（cryptorchidism）病史的30岁男性腹腔内睾丸肿瘤的罕见病例。患者表现为持续性下腹痛，诊断检查结果显示其肿瘤标志物水平升高，进一步提示存在睾丸肿瘤。手术探查证实患者腹腔内存在一枚重量为256克的分化型精原细胞瘤。讨论部分重点阐述了隐睾相关恶性肿瘤风险升高、睾丸固定术（Orchidopexy）的预防作用有限，以及因这类肿瘤无法触及导致早期诊断面临的诸多挑战。本文强调，需提升对该类病症的临床认知、实现早期诊断并开展持续研究，以优化隐睾患者腹腔内睾丸肿瘤的诊疗方案，改善患者预后。