A 45-year-old male with no relevant personal history presented to the urology department with bilateral testicular pain of 4 years duration.
Physical examination is normal and ultrasound performed with a high frequency transducer (10 Mhz) reveals the presence of bilateral TM.
Due to the absence of risk factors (cryptorchidism without infertility, intratubular germ cell neoplasia, gonadal dysgenesis, contralateral testicular tumor, exogenous administration of estrogens ur annual ultrasound).
At 4 years of follow-up she did not develop an invasive germ cell tumor.
