Burned-out testicular seminoma that metastasized to the prostate

A 49-year-old man came with complaints of macroscopic hematuria. Ultrasonography revealed an irregular cystic change of the right epididymis and prostatic enlargement. The MRI demonstrated a 5.5 x 6 cm. mass arising from an enlarged prostate and involving the bladder base and seminal vesicles. Needle biopsy of the prostate and transurethral resection of prostate (TUR-P) were performed. Because of the malignant germ cell tumor of the pathological findings classical pure seminomatous infiltration, right radical orchiectomy was performed. Pathological examination revealed a burned-out testicular tumor. Remember that there is the risk of metastases in the area of the secret primary intratubular scar (Burned-out).