On May 30, Cho Ray Hospital (Ho Chi Minh City) informed about the first successful treatment in Vietnam of a bisexual patient with undescended testicular cancer.
According to information from specialist doctor II Tran Trong Tri (Department of Urology, Cho Ray Hospital), patient A (40 years old, living in Dong Nai) has a female-like appearance.
Ten days before being admitted to Cho Ray Hospital, the patient noticed that the left inguinal region was beginning to enlarge and hurt a lot, so he went to a local hospital for examination, then was transferred to Cho Ray Hospital. Examination results showed that the patient's chest did not develop; no vagina… Tumor mass in the left inguinal scrotum about 5x8cm, solid density, not mobile, little pain.
Assessing this as an extremely rare case, the treatment team had multi-specialty consultation and decided to surgically remove the left testicle tumor. During surgery, doctors discovered that the patient still had a right ovary and no uterus. The pathological result was a malignant tumor of the testicle (seminoma - a germ cell cancer in the testicles, common in young men).
Specialist II Vuong Dinh Thy Hao, Deputy Head of the Department of Chemotherapy, Cho Ray Hospital shared: The patient had surgery, 6 cycles of adjuvant chemotherapy and all had a good response, and his condition was in remission.
Testicular cancer is a very common case in people whose testicles are still hidden in the abdomen, especially in cases of gender disorders such as having 2 sex organs on the same body. It can be said that the patient was admitted to the hospital late for treatment, however, fortunately, the diagnosis, surgery and chemotherapy were successful.
Doctor Vuong Dinh Thy Hao made a recommendation: "Patients as well as patients' relatives, if unfortunately in this situation, do not hesitate to go to a medical facility with urology for examination and examination, timely assessment to avoid possible serious consequences, especially the very high risk of cancer in cases of undescended testicles in the abdomen".
More information about this very rare case, said Dr. Tran Trong Tri, this case is classified as mosaic bisexual in the medical literature. This is a disorder of sex differentiation characterized by the simultaneous presence of male and female genitalia in the same individual with an incidence of 1 in 100.000 live births.
Mosaic true bisexuality is a very rare anomaly. The mosaic is thought to be the result of the fusion of a fertilized egg with its polar body, the nuclei, or double fertilization. The first case of mosaicism was recorded in 1962 with true hermaphrodites, one ovary and one hermaphroditic gonads. To date, more than 50 cases of true bisexuality have been recorded, and the development of a true bisexual tumor has been recorded in less than 10 cases.
(According to HNMO)
