Authors :
Dr. Kunwar Prativyom; Dr. Nikunj Jain; Dr. Krishnanand
Volume/Issue :
Volume 11 - 2026, Issue 1 - January
Google Scholar :
https://tinyurl.com/dz8jy8ks
Scribd :
https://tinyurl.com/48rxvx3j
DOI :
https://doi.org/10.38124/ijisrt/26jan1246
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Postpubertal teratoma of the testis is a nonseminomatous germ cell tumor (NSGCT) composed of mature and/or
immature tissues derived from all three germ layers (ectoderm, mesoderm, and endoderm). Unlike prepubertal teratomas,
which are benign, postpubertal teratomas are malignant with a high risk of metastasis. We report a case of a post-pubertal
testicular teratoma in a young male initially misdiagnosed as a benign cystadenoma on imaging. Despite radiologic
ambiguity, high inguinal orchidectomy was performed, revealing a mature teratoma with malignant potential. This case
highlights the diagnostic challenges of testicular masses and reinforces the role of high inguinal orchidectomy as the definitive
diagnostic and therapeutic approach, particularly in lesions with uncertain malignant potential in post-pubertal patients.
Keywords :
Testicle; Post-Pubertal Teratoma; Cystadenoma; High Inguinal Orchidectomy; Radiological Misdiagnosis.
References :
- Farci F, Shamsudeen S: Testicular teratoma. In. StatPearls [Internet, Treasure Island (FL): StatPearls Publishing; 2025.
- Moch H, Cubilla AL, Humphrey PA, Reuter VE, Ulbright TM: The 2016 WHO classification of tumours of the urinary system and male genital organs—part A: renal, penile, and testicular tumours. Eur Urol. 2016, 70:93-105. 10.1016/j.eururo.2016.02.029
- Ulbright TM: Germ cell tumors of the gonads: a selective review emphasizing problems in differential diagnosis, newly appreciated, and controversial issues. Mod Pathol. 2005, 18:10.1038/modpathol.3800310
- Kim JY, Lee YT, Kang HJ, Lee CH: Mucinous cystadenoma of the testis: a case report with immunohistochemical findings. J Pathol Transl Med. 2017, 51:180-184. 10.4132/jptm.2016.12.14
- Zhang L, Xuan J, Li M, et al.: Misdiagnosis of primary mucinous cystadenoma of the testicle by ultrasound: a case report. Front Oncol. 2023, 13:1206697. 10.3389/fonc.2023.1206697
- Sahnan K, Thornton J, Indudhara R, et al.: Sertoliform cystadenoma of the rete testis: a rare benign tumour. J Med Case Rep. 2013, 7:15. 10.1186/1752-1947-7-15
- Jiang D, Yang X, Ding M, et al.: Prepubertal-type teratoma in a postpubertal patient: a case report and literature review. Int J Clin Exp Pathol. 2020, 13:2407-2411.
- Collins K, Berney DM: Benign neoplasms of the rete testis: morphology and differential diagnosis. Histopathology. 2020, 76:721-730. 10.1111/his.14026
- Simmonds PD, Lee AH, Theaker JM, Tung K, Mead GM: Primary pure teratoma of the testis. J Urol. 1996, 155:939-942. 10.1016/S0022-5347(01)66352-3
- Stephenson AJ, Gilligan TD: Neoplasms of the testis. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 12th ed. Elsevier. 2021,
- Heidenreich A, Weissbach L, Höltl W, et al.: Organ-sparing surgery for malignant germ cell tumor of the testis. J Urol. 2001, 166:2161-2165. 10.1016/S0022-5347(05)65501-7
Postpubertal teratoma of the testis is a nonseminomatous germ cell tumor (NSGCT) composed of mature and/or
immature tissues derived from all three germ layers (ectoderm, mesoderm, and endoderm). Unlike prepubertal teratomas,
which are benign, postpubertal teratomas are malignant with a high risk of metastasis. We report a case of a post-pubertal
testicular teratoma in a young male initially misdiagnosed as a benign cystadenoma on imaging. Despite radiologic
ambiguity, high inguinal orchidectomy was performed, revealing a mature teratoma with malignant potential. This case
highlights the diagnostic challenges of testicular masses and reinforces the role of high inguinal orchidectomy as the definitive
diagnostic and therapeutic approach, particularly in lesions with uncertain malignant potential in post-pubertal patients.
Keywords :
Testicle; Post-Pubertal Teratoma; Cystadenoma; High Inguinal Orchidectomy; Radiological Misdiagnosis.