Metastatic seminoma from an undescended intra-abdominal testis: Case report and review of management

Abstract

Testicular germ cell tumors (TGCTs), particularly seminomas, are the most common malignancies in young males and are strongly linked to cryptorchidism. This case report describes a 44-year-old patient with metastatic seminoma originating from an undescended intra-abdominal testis. The diagnosis was confirmed through imaging, tumor marker analysis, and histopathology. Treatment involved orchidectomy followed by BEP chemotherapy, leading to complete remission with no recurrence at 18-month follow-up. This case highlights the importance of early detection and a multidisciplinary approach for optimal management of testicular seminomas.