Testicular mixed germ cell tumour with isolated skip metastasis to unilateral pleura: First case reported in the literature

Abstract

HighlightsMixed germ cell tumour with skip metastasis to unilateral pleura without involvement of any retroperitoneal lymph nodes or secondary to hematogenous spread involving mediastinal structures or any other distant sites is extremely rare.Histological subtype of metastatic lesion is different from the histological subtype of the primary tumour.Changing nature of histology of tumour with chemotherapy and progress of disease.Combined approach of chemotherapy and surgery is needed in case of mixed germ cell tumour depending on the histological subtype, metastasis and clinical presentation of the patient.