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Case Studies | Oncology Science | India | Volume 12 Issue 12, December 2023
A Rare Case of Presence of Persistent Mullerian Duct Syndrome in Mixed Non Seminomatous Germ Cell Tumour of Testis
Dr. Pranav Desai | Dr. Gargi Patel [2] | Dr. Hiral Shah [2] | Dr. Arpita Patel [2] | Dr. Riddhi Patel | Dr. Ami Yagnik
Abstract: Background: Persistent Mullerian duct syndrome (PMDS) is a rare form of internal male pseudohermaphroditism, in which Mullerian duct derivatives (uterus and fallopiantubes) are present in a genotypic (46XY) and phenotypic male. Case Report: A case of 35 ? year old male patient presenting with testicular mass along with incidental finding of Persistent Mullerian duct syndrome. The testicular mass turned out to be mixed non seminomatous germ cell tumour comprising post pubertal teratoma and post pubertal Yolk sac tumour of left testis. The other testis (right sided) was dragged to left inguinal region along with mullerian duct remnants appearing as left inguinal hernia. Operative procedure was performed and both the testis along with spermatic cord and persistent Mullerian structures were removed. Conclusion: Though rare, every surgeon operating upon testicular mass with inguinal hernia or undescended testes or cryptorchidism needs to know about the presence of the uterus in a phenotypic male patient at any age. High degree of suspicion and awareness is needed to diagnose this condition. Early treatment is needed to maintain fertility and to prevent the occurrence of malignancy in remnant m?llerian structures.
Keywords: Persistent Mullerian duct syndrome, Inguinal hernia, cryptorchidism, non seminomatous germ cell tumour, Mullerian inhibiting substance
Edition: Volume 12 Issue 12, December 2023,
Pages: 1459 - 1462