Case of testicular nonseminomatous germ cell tumor cancer soft tissue seeding after inguinal orchiectomy.

BEP, Bleomycin, etoposide, cisplatin Cancer recurrence NSGCT, Non-seminomatous germ cell tumor STM, Serum tumor marker Testicular germ cell tumor Tumor seeding

Journal

Urology case reports
ISSN: 2214-4420
Titre abrégé: Urol Case Rep
Pays: United States
ID NLM: 101626357

Informations de publication

Date de publication:
Jul 2022
Historique:
received: 04 04 2022
revised: 11 05 2022
accepted: 18 05 2022
entrez: 1 6 2022
pubmed: 2 6 2022
medline: 2 6 2022
Statut: epublish

Résumé

A 29-year-old patient presented to his primary care provider complaining of a painful right inguinal swelling. He was referred for inguinal hernia repair, but during surgery, an enlarged necrotic-appearing testicle was observed and removed. Pathology demonstrated a mixed non-seminomatous germ cell tumor (NSGCT) with evidence of tumor violation. After receiving BEPx3 for elevated post-operative AFP his tumor markers normalized. On surveillance, he was found to have several palpable masses around his inguinal incision. On soft tissue excision he was found to have residual teratoma within his soft tissues. We review the literature on germ cell tumor seeding and atypical recurrences.

Identifiants

pubmed: 35646601
doi: 10.1016/j.eucr.2022.102120
pii: S2214-4420(22)00132-2
pmc: PMC9133747
doi:

Types de publication

Case Reports

Langues

eng

Pagination

102120

Informations de copyright

© 2022 The Authors. Published by Elsevier Inc.

Références

Eur Urol. 2019 Nov;76(5):607-609
pubmed: 31174891
Can Urol Assoc J. 2016 Nov-Dec;10(11-12):E388-E391
pubmed: 28096924
N Engl J Med. 2018 Nov 15;379(20):1905-1914
pubmed: 30379613
Cancer Res. 2021 Nov 1;81(21):5369-5376
pubmed: 34380632
N Engl J Med. 2018 Nov 15;379(20):1895-1904
pubmed: 30380365

Auteurs

Jeffrey Vehawn (J)

Division of Urology, Department of Surgery, Huntsman Cancer Institute and University of Utah, Salt Lake City, UT, USA.

Mouneeb Choudry (M)

Division of Urology, Department of Surgery, Huntsman Cancer Institute and University of Utah, Salt Lake City, UT, USA.

Jonathon Mahlow (J)

Department of Pathology, University of Utah, Salt Lake City, UT, USA.

Jayant Agarwal (J)

Division of Plastic Surgery, Department of Surgery, University of Utah, Salt Lake City, UT, USA.

Christopher Dechet (C)

Division of Urology, Department of Surgery, Huntsman Cancer Institute and University of Utah, Salt Lake City, UT, USA.

Alejandro Sanchez (A)

Division of Urology, Department of Surgery, Huntsman Cancer Institute and University of Utah, Salt Lake City, UT, USA.

Classifications MeSH