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ISSN 1681-715X |
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CASE REPORT |
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Volume 23 |
October - December 2007 (Part-II) |
Number 6 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ISSN 1681-715X |
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CASE REPORT |
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Volume 23 |
October - December 2007 (Part-II) |
Number 6 |
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Testicular carcinoma misdiagnosed
as hydrocele: lesson to learn
Syed Abdullah Iqbal1, Fareya Usmani2, Muhammad Shamim3
ABSTRACT
About 99% of testicular tumors are malignant though they only constitute about 1-2% of malignant tumors in male. They are more readily accessible to examining fingers than a tumour of any other organ in the body, however too often they escape detection until it has metastasised. Worst error is to plunge a trocar and cannula into the enlarge testis or operating from scrotal approach in the belief that it is a hydrocele. Proper pre-operative assessment and diagnosis has the key role in the life expectancy of patient. Hydrocele and testicular tumor both have different operative approaches. For hydrocele scrotal approach and for tumor inguinal approach is recommended. For tumor, if scrotal approach has been adapted it may result in disaster. Two cases of testicular carcinoma initially diagnosed and operated as cases of hydrocele are reported.
KEY WORDS: Testicular carcinoma, Hydrocele, Misdiagnosis.
Pak J Med Sci October - December 2007 (Part-II) Vol. 23 No. 6 950-952
1. Syed Abdullah Iqbal, FCPS
Professor of Surgery,
2. Dr. Fareya Usmani, MBBS
Postgraduate Trainee,
3. Muhammad Shamim, FCPS
Assistant Professor
1-3: Department of Surgery,
Baqai Medical University,
Karachi - Pakistan.
Correspondence
Prof. Syed Abdullah Iqbal FCPS
Dept. of Surgery,
Baqai Medical University,
Karachi - Pakistan.
Email:
drsabdullah_iqbal@yahoo.com
* Received for Publication: January 22, 2007
* Revision Received: August 17, 2007
* Revision Accepted: October 25, 2007
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