Testicular Tumor – Cryptorchid Testicle Resection

In canine patients, testicular tumors in dogs are one of the most commonly diagnosed tumors in intact males. Among the known types are Sertoli cell tumors, Seminomas, and Interstitial (Leydig) cell tumors. The condition becomes more clinically significant when associated with cryptorchidism, as retained testicles are more prone to testicular tumor development due to elevated intra-abdominal temperature

Clinical Evaluation and Surgical Management of Testicular Tumor

:Case History

A 7-year-old Golden Retriever presented to Dr Paws hospital with complaints of soft tissue swelling, abdominal pain, and hematuria. Clinical suspicion increased when a noticeable asymmetry in the scrotum was observed, with one testicle retained in the abdominal cavity (cryptorchid)

:Physical Examination

The physical exam revealed inflamed peins, soft tissue swelling, asymmetrical scrotum, cryptorchidism, and pain on abdominal palpation, these signs often suggestive of a developing testicular tumor, particularly in cryptorchid males

:Diagnostic Work-up

Ultrasonography of the abdomen showed a hypoechoic mass at the cryptorchid testicle with nodular pattern and abnormal vasculature on color Doppler. The prostate was enlarged, exhibiting blood flow suggestive of metaplastic transformation. Echocardiography revealed mitral regurgitation and left atrial dilatation (ASA III). CBC showed anemia and thrombocytopenia; peripheral smear indicated Ehrlichia spp. infection. Based on these finding, a testicular tumor was the leading differential. The case was referred to our surgical team for surgical intervention

:Surgical Management: Testicular Tumor Resection -Orchidectomy

A midline laparotomy was performed to access and excise the intra-abdominal cryptorchid testicle. Key points of the procedure: The testicular tumor appeared significantly enlarged (43.8g), Complete orchidectomy was performed, including removal of the descended testicle, Samples were submitted for histopathological evaluation. Anesthesia and intraoperative monitoring were tailored to the ASA III cardiac condition, the surgical goal was full testicular tumor resection to prevent further spread

:Postoperative Care & Recommendations

Strict postoperative monitoring due to cardiac condition and blood abnormalities. Antibiotics and anti-tick protocols were initiated for concurrent Ehrlichiosis. Follow-up imaging and evaluation may be indicated based on histopathology results, particularly if malignancy is confirmed in the testicular tumor

:Clinical Insight

Cryptorchid dogs have a markedly increased risk for neoplasia due to abnormal thermoregulation and hormonal imbalance. Early surgical intervention in cryptorchid dogs is strongly recommended even in the absence of clinical signs. Ultrasonographic examination with Doppler is a valuable tool in assessing testicular architecture and associated prostatic pathology. For more clinical cases and surgical insights, visit Dr Paws LinkedIn page

Huge appreciation goes to our surgical team Dr. Ahmed Barakat and Dr. Afnan Elznati for their outstanding precision and care during this complex testicular tumor resection in dogs