Weerakkody Y, Yap J, Iqbal S, et al. Testicular choriocarcinoma. Reference article, Radiopaedia.org (Accessed on 15 Jan 2025) https://doi.org/10.53347/rID-61753
Can be variable with some patients initially presenting with metastases.
Pathology
It is most commonly detected as a component of a mixed malignant germ cell tumor and observed in about 7-8% of testicular tumors. It is extremely rare in pure form, choriocarcinoma comprising only 0.2-0.6% of all testis tumors.
Markers
b-HCG levels tend to be elevated.
Treatment and prognosis
It is considered an aggressive malignancy. Choriocarcinoma can often spread hematogenously. Treatment options include orchiectomy +/- combination chemotherapy.
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