case_images: PMC4898249_01
case_images: Right inguinal mass, hard and fixed to adjacent tissues
case_images: 1679-4508-eins-12-01-0109-gf01.jpg
case_images: PMC4898249_01_1679-4508-eins-12-01-0109-gf01.jpg
case_images: f1
case_images: Five years later, a hard bulky mass, fixed to adjacent tissues, was observed in the right inguinal region (Figure 1).
case_images: (A) Computed tomography showed a right testicular mass in contiguity with the ipsilateral inguinal canal; (B) hydronephrosis on the right due to compression by the scrotal mass that extended to the retroperitoneum
case_images: 1679-4508-eins-12-01-0109-gf02.jpg
case_images: PMC4898249_01_1679-4508-eins-12-01-0109-gf02.jpg
case_images: f2
case_images: Computed tomography (CT) of abdomen and pelvis showed a right testicular mass with contiguity to the inguinal canal up to the ipsilateral retroperitoneum, associated to right hydronephrosis (Figures 2A and 2B).
case_images: (A) Right radical orchiectomy of an inguinal mass related to a cryptorchid testis tumor. (B) Testicular mass and peritesticular lymph node after orchiectomy
case_images: 1679-4508-eins-12-01-0109-gf03.jpg
case_images: PMC4898249_01_1679-4508-eins-12-01-0109-gf03.jpg
case_images: f3
case_images: Inguinotomy was performed and an enlarged and hard peritesticular lymph node was excised (Figures 3A and 3B).
case_images: (A) Histology demonstrating anarchic cell hyperproliferation suggestive of leukemia. (B) Immunohistochemistry for myeloperoxidase revealed acute myeloid leukemia
case_images: 1679-4508-eins-12-01-0109-gf04.jpg
case_images: PMC4898249_01_1679-4508-eins-12-01-0109-gf04.jpg
case_images: f4
case_images: The pathological report was diffuse infiltration by AML in testis and peritesticular lymph node (Figures 4A and 4B).