Neck metastasis of the testicular teratoma in an adult: a case report

Mustafa, Aziz; Schwentner, Ilona; Schmutzhard, Joachim; Strasser, Hannes; Sprinzl, G. M.

doi:10.1590/s1808-86942009000500026

Cited by 3 publications

(7 citation statements)

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“…However, 2 months later he developed left supraclavicular lymphadenopathy suspicious for metastasis. He was treated with selective left neck dissection confirming the metastatic testicular teratoma [6]. Our patient, however, presented nearly 4 years after his orchidectomy with neck metastatsis supporting the recommendation that such patients need long term follow up.…”

Section: Discussionsupporting

confidence: 65%

“…As for the chemotherapy regime, our patient originally received chemotherapy using Bleomycin, Etoposide and Cisplatin (BEP) which is the recommended treatment regime for non-seminomatous testicular germ cell tumours [13]. Along with surgical resection, this treatment regime has a 90% success rate [6]. Therefore, he received the most appropriate treatment available at the time.…”

Section: Vol 1 Iss 1 Year 2020 Mohammad Hasan Et Al/2020mentioning

confidence: 99%

“…Late relapses, defined as recurrence occurring more than two years after initial complete response to primary treatment, are uncommon but can occur in many anatomical sites and have been seen in the retroperitoneum, abdomen, pelvis, liver, mediastinum, scrotum, inguinal regions, adrenal gland, chest wall and buttocks [3,5]. A detailed literature review reveals a few published articles on this rare occurrence [3,[6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

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Testicular non-seminomatous germ cell tumour presenting as a neck lump: a diagnostic and therapeutic challenge

Hasan¹,

Duff²,

Drever³

et al. 2020

MedNEXTJ Med Health Sci

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Testicular tumours are one of the most prevalent cancers in young males. Teratoma is one type of testicular tumour, which carries a good prognosis if treated appropriately. We describe a case of a 37 year old man, diagnosed with testicular non-seminomatous germ cell tumour in 2005. He underwent left orchidectomy and radical chemotherapy with Bleomycin, Etoposide and Cisplatin. He had involved retroperitoneal lymph nodes at the time of diagnosis and underwent retroperitoneal lymphadenectomy in 2007. He made a good recovery but presented with a left neck lump in 2009, the appearance of which suggested differentiated teratoma on fine needle aspiration cytology. The neck lump was excised without any complications and histology confirmed the mass to be mature teratoma with no undifferentiated elements. He has remained disease free since then and remains under oncological surveillance, in keeping with current protocols.

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Section: Discussionsupporting

confidence: 65%

Section: Vol 1 Iss 1 Year 2020 Mohammad Hasan Et Al/2020mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Testicular non-seminomatous germ cell tumour presenting as a neck lump: a diagnostic and therapeutic challenge

Hasan¹,

Duff²,

Drever³

et al. 2020

MedNEXTJ Med Health Sci

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“…GCTs are common in the testis. About 5% involve supraclavicular and cervical lymph nodes; it is the first clinical manifestation in 5% [4] of cases. They have a predilection for young adults, with peak incidence in the late twenties [5] and thirties.…”

Section: Discussionmentioning

confidence: 99%

Metastatic Testicular Mixed Germ Cell Tumors. A Diagnostic Dilemma in Cytology

Raj¹,

Sharmila²,

Mahanthachar³

et al. 2013

JCBS

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Germ cell tumours (GCTs) are the most common malignant tumours of the testes. Metastasis to cervical lymph nodes as the initial manifestation is rare. Mixed GCTs are a diagnostic challenge to the pathologist, particularly in cytology because of their histologic diversity; more so when they occur at unexpected sites, with unknown primary. Two young adult males presented with enlarged cervical lymph nodes. Fine needle aspiration cytology (FNAC) was reported as metastatic undifferentiated carcinoma, suspected to be arising from testis. Subsequently, left testes were found to be enlarged in both; histopathological examination confirmed mixed GCT. GCTs are important differential diagnoses for metastatic undifferentiated carcinomas in cervical lymph nodes in young adult males. A reliable diagnosis can be made on cytology, even in those patients in whom the primary is not known. This study aims to highlight the cytologic hallmarks of metastatic mixed GCT to arrive at an accurate diagnosis.

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“…These series differed in terms of recurrence rates, complications, and cervical pathology. A number of other groups have published case series and case reports on the topic 8, 9…”

Section: Discussionmentioning

confidence: 99%