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Hyderabad hospital successfully removes rare, giant dumbbell-shaped testis tumour from 39-year-old man

Measuring approximately 40cm, the dumbbell-shaped tumour was extracted with minimal blood loss and an uneventful surgery.

BySumit Jha

Published May 29, 2024 | 2:42 PM ⚊ Updated May 29, 2024 | 2:42 PM

Hyderabad hospital successfully removes rare, giant dumbbell-shaped testis tumour from 39-year-old man

The doctors found a large tumour extending from the left testis into the abdomen (Supplied)

Doctors at the Asian Institute of Nephrology and Urology (AINU) in Hyderabad successfully removed a rare, giant dumbbell-shaped testis tumour, measuring approximately 40cm, from a young man, who is a kidney transplant recipient on high-dose immunosuppressive medication.

The 39-year-old patient from Kadapa, Andhra Pradesh, who underwent a kidney transplant a year ago for end-stage kidney failure, noticed swelling in his left testis. Initially dismissed as a hydrocele, the swelling rapidly grew, according to a statement from AINU.

The doctors found a large tumour extending from the left testis into the abdomen. Lab tests revealed abnormally high levels of Beta HCG, a testis tumour marker, at more than 20 times the normal value.

A PET scan showed no signs of the tumour spreading to other parts of the body.

Due to the patient’s immunosuppressive drug regimen, conventional treatments like chemotherapy and radiotherapy were not viable, making surgery the only option.

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The surgery

The complex surgery was led by consultant uro-oncologist Dr Rajesh Kumar Reddy Adapala, with surgical support from Dr Dinesh and anaesthesia team support from Dr Nithyananda and Dr Shifa. Dr Srikanth provided critical perioperative nephrology care.

The surgical approach involved making an incision higher than usual, from the left groin extending into the abdomen, to avoid violating the tumour environment and reduce the risk of spreading to lymph nodes.

The tumour was meticulously dissected without damaging surrounding organs such as the urinary bladder and major blood vessels, and successfully removed. Measuring approximately 40cm, the dumbbell-shaped tumour was extracted with minimal blood loss and an uneventful surgery.

The patient was shifted out of the ICU on the first postoperative day and discharged on the third day.

“Testis tumours are common among young men, but it is rare to see such a giant mass growing into the abdomen,” noted Dr Adapala.

The patient had a previous successful kidney transplant at AINU and now has undergone another complex yet successful surgery.

(Edited by Shauqueen Mizaj)