The Debulking of Recurrent Right Testicular Seminoma with Anterolateral Thigh Flap Reconstruction

Introduction: Radical orchidectomy is considered both a therapy and part of the staging procedure. Stage I seminoma may be treated with orchiectomy alone while remaining 15% to 20% have relapse if they receive no additional treatment during five-year surveillance. Most recurrences occur within first 2 years after diagnosis, location recurrence typically in retroperitoneum. This article aims share experience management testicular multidisciplinary approach.Case Presentation: We are reporting case 26-year-old male growing mass at right scrotum just two months radical orchidectomy. patient was previously stage underwent Tumor debulking inguinoscrotal reconstruction using pedicled anterolateral thigh (ALT) flap were done through collaborative surgery between urology plastic surgery. However, according National Comprehensive Cancer Network (NCCN), relapsed mass, this can classified as having III good-risk disease due evidence non-pulmonary visceral metastasis. With risk bleomycin causing lung fibrosis, four cycles etoposide cisplatin chemotherapy regimens for patient. Evaluation should by checking tumor markers imaging studies.Conclusions: The reappearance unexpectedly occurred quite short period, that Immediate intervention urologist surgeon wide incision margin ALT reconstruction. Unfortunately, however, second month follow-up, there bulging beneath which needed further evaluation ultrasonography confirm possibility or seroma. If confirmed, scheduled soon possible.