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

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 t...

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Detalles Bibliográficos
Autores principales: Vehawn, Jeffrey, Choudry, Mouneeb, Mahlow, Jonathon, Agarwal, Jayant, Dechet, Christopher, Sanchez, Alejandro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Oncology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9133747/
https://www.ncbi.nlm.nih.gov/pubmed/35646601
http://dx.doi.org/10.1016/j.eucr.2022.102120
Descripción
Sumario: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.

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