Polyorchidism:
The presence of more than 2 testes is called polyorchidism. It is rare and less than 100 cases are reported in medical literature.Dr Joe presents a case of polyorchidism. The patient presented with a small, painless mass in the left scrotum. Physical examination revealed a small, non-tender lump below the left testes. Sonography revealed a well-defined, solid ovoid mass of less than 2 cms., just below the left testes. It shows same echogencity and echotexture as the testes. This is a very important point that clearly identifies the mass as a supernumerary testes.
D/d: this includes bilobate testes; other differentials include solid masses like fibroma, lipoma and neurofibroma.
Prognosis: polyorchidism is associated with higher risk of malignancy and torsion of the supernumerary testes. Normal spermatogenesis has been reported in the extra testes. Careful follow up examination of the testes is usually sufficient.
The presence of more than 2 testes is called polyorchidism. It is rare and less than 100 cases are reported in medical literature.Dr Joe presents a case of polyorchidism. The patient presented with a small, painless mass in the left scrotum. Physical examination revealed a small, non-tender lump below the left testes. Sonography revealed a well-defined, solid ovoid mass of less than 2 cms., just below the left testes. It shows same echogencity and echotexture as the testes. This is a very important point that clearly identifies the mass as a supernumerary testes.
D/d: this includes bilobate testes; other differentials include solid masses like fibroma, lipoma and neurofibroma.
Prognosis: polyorchidism is associated with higher risk of malignancy and torsion of the supernumerary testes. Normal spermatogenesis has been reported in the extra testes. Careful follow up examination of the testes is usually sufficient.
Case submitted by-
DR. JOE ANTONY, MD,
Consultant Radiologist.
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