L’image du mois. Séminome testiculaire révélé par un hypogonadisme hypergonadotrope

Summary : We report the case of a 39-year-old patient who
complains about loss of libido and erectile dysfunction.
Hormonal diagnosis revealed hypergonadotropic hypogo nadism suggesting a primitive testicular cause. Testicular
examination, testicular ultrasounds and abdomen-pelvis CT
scan made it possible to suspect a right testicular tumor. A
stage I seminoma was confirmed at orchiectomy. Testicular
cancer is the most common cancer in men before the age
of 35. Most testicular tumors initially present with a scrotal
mass: a testicular tumor should not be ignored in a patient
with hypergonadotropic hypogonadism.