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1. The typical presentation in testicular seminoma is as follows:
2. Uncommon presentations include the following:

Testicular pain, possibly with an acute onset; may be associated with a hydrocele

A metastatic testis tumor may manifest as large retroperitoneal and/or chest lesions, while the primary tumor is nonpalpable

A male aged 15-35 years presents with a painless testicular lump that has been noticeable for several days to months

Patients commonly have abnormal findings on semen analysis at presentation, and they may be subfertile

Patients may present with a hydrocele, and scrotal ultrasonography may identify a nonpalpable testis tumor