Testicular mixed germ cell tumour with isolated skip metastasis to unilateral pleura: First case reported in the literature
| Autor: | Manmohan Kamat, Neeraj Pratap Singh, Shravani Shetye, Kartik Nattey, Seema Barman |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
endocrine system
Pathology medicine.medical_specialty Thoracic duct Article Mini-thoracotomy 03 medical and health sciences Testicular tumour spread 0302 clinical medicine Mixed germ cell tumour medicine Respiratory system Testicular germ cell tumour Skip metastasis Pleural metastasis business.industry Rare entity medicine.disease medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Metastatic testicular tumour Lymph Teratoma Presentation (obstetrics) business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Mixed germ cell tumour with skip metastasis to unilateral pleura without involvement of any retroperitoneal lymph nodes or secondary to hematogenous spread involving mediastinal structures or any other distant sites is extremely rare. • Histological subtype of metastatic lesion is different from the histological subtype of the primary tumour. • Changing nature of histology of tumour with chemotherapy and progress of disease. • Combined approach of chemotherapy and surgery is needed in case of mixed germ cell tumour depending on the histological subtype, metastasis and clinical presentation of the patient. Introduction Testicular germ cell tumours metastasize in a very predictable fashion involving the retroperitoneal lymph nodes first followed by either lymphatic spread via thoracic duct or hematogenous spread to distant organs like lungs, liver and brain. Presentation of case We encountered a case of 21-year-old gentleman with mixed germ cell tumour of testis who later presented with respiratory complaints which turned out to be a metastatic differentiated teratoma of unilateral pleura without involvement of retroperitoneal lymph nodes or any other organs. Discussion Skip Metastasis to unilateral pleura is an extremely rare entity for testicular mixed germ cell tumour and no case has been reported in the literature so far. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|