Bilateral testicular intratubular germ-cell neoplasia, unclassified in an azoospermic patient.

摘要

We report the case of a 29-year-old man, who was examined in our hospital for infertility. After complete evaluation, the patient was found to be azoospermic with normal follicle-stimulating hormone levels, whereas his testes were slightly smaller than normal. Thus, there was an indication for testicular biopsy, which showed bilateral testicular intratubular germ-cell neoplasia, unclassified. The patient was informed about his status, and when the staging was completed and the possibility of distant or lymphatic metastases was excluded, the therapeutic choices were discussed. In this case, bilateral orchiectomy was recommended and carried out, followed by hormone replacement therapy.