It is commonly accepted to consider retroperitoneal germ cell tumors as the metastasis of a viable or burned-out testicular tumor. In such cases, orchiectomy should be performed since the burned-out site in the testis could continue to harbor malignancy despite systemic chemotherapy. A 45-year-old male presented as an outpatient with complaints of back pain. He was diagnosed with a retroperitoneal mass and a palpable testis mass. He underwent radical orchiectomy. Pathological study revealed a burned-out tumor. Following chemotherapy, retroperitoneal lymph node dissection was performed. Despite the residual and enhanced retroperitoneal lymph nodes in his computed tomography scan, none of the resected lymph nodes showed a viable tumor. This is the first reported case of a palpable and hypoechoic burned-out testicular tumor.
International journal of health sciences. 0000 Jan [Epub]
Mojtaba Ameli, Naser Yousefzade, Saeed Farhadiniaki, Leila Gholamimahtaj
Department of Endourology, Gonabad University of Medical Sciences, Gonabad, Iran., Department of Urology, Hasheminejad Hospital, Iran University of Medical Sciences, Tehran, Iran., Department of Physiology, Gonabad University of Medical Sciences, Gonabad, Iran.