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INTERVENTIONS Preoperative examination was completed, and the retroperitoneal mass was resected. OUTCOMES During the short-term follow-up, no tumor recurrence was detected. LESSONS Primary retroperitoneal seminoma should be included in the differential diagnosis of primary retroperitoneal tumors in female patients. The primary retroperitoneal seminoma/anaplastic tumor has an obvious occupying effect and can easily invade the surrounding structures. However, surgical resection of such tumors is an optional treatment strategy.Ischemic moy