{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T12:03:29Z","timestamp":1779624209257,"version":"3.53.1"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T00:00:00Z","timestamp":1779580800000},"content-version":"vor","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Seminoma usually presents as a painless solid testicular mass, but associated hydrocele may obscure the diagnosis and delay treatment. We report a 43-year-old man with progressive left scrotal swelling for 1\u00a0year and dull aching pain for 3\u00a0months. Clinical examination suggested hydrocele because the swelling was soft and transilluminant. Scrotal ultrasonography showed a bulky left testis with a solid component, raising suspicion for neoplasm. Contrast enhanced computed tomography demonstrated a heterogeneously enhancing enlarged left testis measuring 13\u2009\u00d7\u200910.5\u2009\u00d7\u200915\u00a0cm with moderate hydrocele. Serum beta human chorionic gonadotropin was elevated, whereas alpha fetoprotein and lactate dehydrogenase were within normal limits. The patient underwent high inguinal orchidectomy. Histopathology confirmed classical seminoma, staged as pT1b. This case highlights that long standing hydrocele with atypical features may conceal testicular malignancy, and early ultrasonography with tumor marker assessment is essential for timely diagnosis.<\/jats:p>","DOI":"10.1093\/jscr\/rjag370","type":"journal-article","created":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T21:05:18Z","timestamp":1777842318000},"source":"Crossref","is-referenced-by-count":0,"title":["Giant seminoma presenting as a long standing hydrocele: a diagnostic challenge"],"prefix":"10.1093","volume":"2026","author":[{"given":"Vishwas","family":"H M","sequence":"first","affiliation":[{"name":"Department of General Surgery, Kasturba Medical College Mangalore, Manipal Academy of Higher Education , Manipal 576104, Karnataka ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4335-1807","authenticated-orcid":false,"given":"Aishwarya","family":"Madasamy Swaminathan","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Manipal Hospitals , ITPL Main Road, Opposite Prestige Shantiniketan, KIADB Export Promotion Industrial Area, Whitefield, Bengaluru 560066, Karnataka ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher Sam","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Kasturba Medical College Mangalore, Manipal Academy of Higher Education , Manipal 576104, Karnataka ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Kumar Shetty","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Kasturba Medical College Mangalore, Manipal Academy of Higher Education , Manipal 576104, Karnataka ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyothi","family":"K R","sequence":"additional","affiliation":[{"name":"Senior Specialist, Department of General Surgery, Government Wenlock Hospital , Mangalore 575001, Karnataka ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,24]]},"reference":[{"key":"2026052407262863400_ref1","doi-asserted-by":"publisher","first-page":"17","DOI":"10.3322\/caac.21763","article-title":"Cancer statistics, 2023","volume":"73","author":"Siegel","year":"2023","journal-title":"CA Cancer J Clin"},{"key":"2026052407262863400_ref2","volume-title":"WHO Classification of Tumours of the Urinary System and Male Genital Organs","author":"Moch","year":"2017"},{"key":"2026052407262863400_ref3","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1148\/radiographics.22.1.g02ja14189","article-title":"From the archives of the AFIP: tumors and tumorlike lesions of the testis: radiologic-pathologic 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