Burned-out testicular choriocarcinoma

Case contributed by Dr Martin Ruiz

Presentation

Hypogastric pain, two months of evolution, no relevant past medical history.

Patient Data

Age: 28
Gender: Male

Retroperitoneal mass of 7 × 6 × 4 cm. extending along the left and right side of the aorta, compressing but not completely occluding the renal veins. There were also lymph nodes around the mass. The enhancement of the renal vessels is appreciated, the tumor has poor contrast enhancement.

Case Discussion

The tumor presented as a retroperitoneal mass with histological characteristic of a choriocarcinoma. The testes on clinical examination were normal, and sonogram showed diffuse microlithiasis, hypotrophic right organ containing a macrolithiasis. Histological examination of the testis revealed a suspicious lesion with characteristics of spontaneous regression of germ cell tumors. 

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Case information

rID: 32822
Published: 28th Dec 2014
Last edited: 16th Feb 2019
System: Urogenital
Inclusion in quiz mode: Included

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