Metastatic testicular germ cell tumor

Case contributed by Assis Prof Faeze Salahshour


The patient referred for follow up of a known disease.

Patient Data

Age: 35 years
Gender: Male

Multiple left para-aortic, aortocaval, and retrocaval dominantly cystic lesions are seen as well as several small hypodense, hepatic lesions, some containing calcified foci. Evidence of left orchiectomy is seen as the absence of left testicular cord.

The images show a pathology report of a previous left orchiectomy.

Case Discussion

The patient is a known case of a testicular gem cell tumor. He had extensive retroperitoneal lymph node involvement and large hepatic metastases since 2 years ago. He underwent chemotherapy and now referred for follow up. Cystic change is a common finding in germ cell tumors that respond to chemotherapy.

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Case information

rID: 80830
Published: 9th Aug 2020
Last edited: 9th Aug 2020
Inclusion in quiz mode: Included
Institution: Tehran University of Medical Sciences (TUMS)