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Management of supernumerary testis in an adult: case report and review

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Polyorchidism is a rare congenital anomaly. Approximately 100 cases have been published to date. We report a case of triorchidism in a 20-year-old man who presented to us with inguinal hernia. There is more than 30% incidence of histological abnormalities in polyorchid testes and 4–7% present with malignancy. The management of polyorchidism is controversial. Some authors prefer conservative approach to increase the chances of spermatogenesis and others suggest excision to prevent malignancy. In our case, a biopsy of the testes was performed and was found to be normal. This patient was placed on follow-up with regular self examination, six monthly clinical examination and yearly scrotal sonogram.
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Keywords: Intratubular germ cell neoplasia; polyorchidism; supernumerary testis; testicular cancer; triorchidism

Document Type: Research Article

Affiliations: 1:  Department of Surgical Oncology, Chittaranjan National Cancer Institute, Kolkata, India 2:  Department of Surgery, Medical Collage Hospital, Calicut, India

Publication date: April 1, 2011

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