The special case has been treated by doctors at Cho Ray Hospital in HCM City over the last year. The patient is 40 years old, and lives in Dong Nai province.

When the patient turned three years old, her family discovered testis in the left inguinal and brought her to hospital for medical examination in HCM City. The patient did not receive any intervention and has not received any further examination since then. To date, the patient has not had a menstrual period.

One year ago, the patient discovered that her left inguinal area began to grow larger and had a lot of pain, so she decided to go to a local hospital, which later sent her to Cho Ray Hospital.

Cho Ray’s doctors found that the patient's chest had not developed, the clitoris was in gigantism, and there was no vagina, and no menstrual period. A tumor mass of 5-7 cm was in the left scrotum.

According to Dr Tran Trong Tri from Cho Ray Hospital, this was a very uncommon case. After multi-specialty consultation, doctors decided to conduct surgery to remove the left testicle tumor.

During the operation, surgeons discovered that the patient had a right ovary and no uterus. The pathology result showed it was a malignant tumor of the testicle (seminoma, mostly seen in young men).

According to Dr Vuong Dinh Thy Hao, she received six cycles of chemotherapy and had a good response. The patient was admitted to the hospital for treatment late, but fortunately, she was able to have surgery and chemotherapy.

Dr Tran Trong Tri from the Department of Urology said this can be considered the first bisexual case with the first 46 XX/46 XY mosaic chromosomes in a testicular cancer patient discovered and treated in Vietnam.

It took doctors many months to persuade the patient to get the nod to receive treatment. The patient received support in psychological consultancy and travel so that she could feel secure to observe the therapy designed for her.

According to experts, testicular cancer is commonly seen in patients with testicles hidden in the abdomen, especially in the case of gender disorders such as having two genitals on the body.

Such patients should not hesitate to go to a medical facility with a urology department for timely examination and treatment. Early treatment can help avoid serious consequences that may occur, especially cancer, which is likely to happen in case of testes hidden in the abdomen.

Linh Giao