Recurrent seminoma in the contralateral testicle after orchiectomy is a rare occurrence, with a reported incidence less than 5%. Testicular ultrasound was performed on a 36-year-old man with a clinical history of previous left orchiectomy for testicular neoplasm. Recurrent seminoma was the pathologic diagnosis in the remaining right testicle. This can be a difficult diagnosis to make using ultrasound due to previous orchiectomy.
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