Seminoma history and symptoms

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Seminoma Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Symptoms

• Most common presentation of testicular seminoma is a painless testicular mass, although 45% will report a degree of testicular discomfort.
• Bilateral tumors are rare (~2%) and are almost always asynchronous.
• Diagnosis following trauma is common as it draws the patient’s attention to the lump.
• Back pain, abdominal discomfort or abdominal mass may be a presenting feature in the 25% of patients who have retroperitoneal nodal metastases.
• Presentation with distant or extranodal metastases is rare (5%).