Current Case of the Week 2024
2024 – 16/Aug12
A male patient in his 70s presented with a slowly growing left scrotal mass. Scrotal ultrasound examination showed a large 11 x 8 x 5 cm solid and cystic mass within the left hemiscrotum. The testis and epididymis could not be separately identified. CT scan of the chest, abdomen and pelvis showed a large heterogeneous mass in the left para-aortic region 147 x 94 x 87 mm, of which biopsy was inconclusive. The patient subsequently underwent left radical orchidectomy.
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A male patient in his 70s presented with a slowly growing left scrotal mass. Scrotal ultrasound examination showed a large 11 x 8 x 5 cm solid and cystic mass within the left hemiscrotum. The testis and epididymis could not be separately identified. CT scan of the chest, abdomen and pelvis showed a large heterogeneous mass in the left para-aortic region 147 x 94 x 87 mm, of which biopsy was inconclusive. The patient subsequently underwent left radical orchidectomy.
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2024 – 15/Jul30
66-year-old male with past medical history of prostate cancer presented with an increasing size of a chronic hydrocele causing progressive urination difficulty. CT revealed a large 14 cm left hydrocele causing mass effect on the testis with vascularized nodularity surrounding the testis and extending along the wall of scrotum. He subsequently underwent radical orchiectomy of the left testis and hydrocelectomy.
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66-year-old male with past medical history of prostate cancer presented with an increasing size of a chronic hydrocele causing progressive urination difficulty. CT revealed a large 14 cm left hydrocele causing mass effect on the testis with vascularized nodularity surrounding the testis and extending along the wall of scrotum. He subsequently underwent radical orchiectomy of the left testis and hydrocelectomy.
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2024 – 14/Jul22
A 55-year-old male with a long history of HIV presents with multiple ulcerated lesions on the glans penis and penile shaft. He has a history of scrotal squamous cell carcinoma and a non- healing ulcer measuring approximately 1.5 cm by 1.0 cm. The ulcer was biopsied due to suspicion of squamous cell carcinoma.
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A 55-year-old male with a long history of HIV presents with multiple ulcerated lesions on the glans penis and penile shaft. He has a history of scrotal squamous cell carcinoma and a non- healing ulcer measuring approximately 1.5 cm by 1.0 cm. The ulcer was biopsied due to suspicion of squamous cell carcinoma.
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2024 – 13/Jun24
42 year old male had an incidental 50 mm lesion in their left kidney and underwent left nephrectomy.
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42 year old male had an incidental 50 mm lesion in their left kidney and underwent left nephrectomy.
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2024 – 12/Jun10
A female patient in her 60s had an incidentally diagnosed right kidney mass. CT scan of the abdomen and pelvis showed a lower pole exophytic hyperdense renal mass with some calcification, 18x24mm. During a few months period of surveillance the patient had a fall, followed by flank pain and haematuria, however, repeat CT scan did no show increase in size of the mass. She subsequently underwent robotic right partial nephrectomy.
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A female patient in her 60s had an incidentally diagnosed right kidney mass. CT scan of the abdomen and pelvis showed a lower pole exophytic hyperdense renal mass with some calcification, 18x24mm. During a few months period of surveillance the patient had a fall, followed by flank pain and haematuria, however, repeat CT scan did no show increase in size of the mass. She subsequently underwent robotic right partial nephrectomy.
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