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Diagnostic and therapeutic challenges with germ cell tumours associated with transverse testicular ectopia and persistent Müllerian duct syndrome
  1. Amitabh Kumar Upadhyay1,
  2. Sridhar Pradhan2,
  3. Shashank Shekhar3,
  4. Sree Devi Jakka4,
  5. Abhishek Kumar5 and
  6. Farah Rana4
  1. 1Medical Oncology, Tata Main Hospital, Jamshedpur, Jharkhand, India
  2. 2Surgery, Steel City Clinic And Research Centre, Jamshedpur, Jharkhand, India
  3. 3Medical Oncology, Meherbai Tata Memorial Hospital, Jamshedpur, Jharkhand, India
  4. 4Department of Pathology, Tata Main Hospital, Jamshedpur, Jharkhand, India
  5. 5Department of Nuclear Medicine, Tata Main Hospital, Jamshedpur, Jharkhand, India
  1. Correspondence to Dr Amitabh Kumar Upadhyay; dramit1111{at}


Transverse testicular ectopia (TTE) is an infrequent ectopic testis where both testes descend via the same inguinal canal, located in the same hemiscrotum, and augments the risk of developing testicular tumours. Type II TTE is accompanied by persistent Müllerian duct syndrome, where the Müllerian structures persist for various reasons. Here, we present a case of an adult in his early 30s, who presented with a right testicular swelling and was diagnosed as type II TTE and testicular mixed germ cell tumour after surgery. We could find only 13 similar cases of TTE and testicular tumours in the literature. Our case highlights the importance of clinical acumen with detailed history, meticulous clinical examination, radiological investigations and a detailed pathological examination while dealing with such sporadic presentations.

  • Oncology
  • Sexual health
  • Endocrinology
  • Cancer intervention

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  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content—AKU, SP, SS, SDJ, AK and FR. The following authors gave final approval of the manuscript—AKU, SP, SS, SDJ, AK and FR.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.