TY - JOUR AU - Flora, Martina AU - Costigliola, Adriano AU - Lavoretano, Sabrina AU - Mollica, Mariano AU - Tranfa, Carmelindo M.E. AU - Perrotta, Fabio AU - Calabrese, Cecilia PY - 2020/04/08 Y2 - 2024/03/29 TI - Pulmonary metastasis: very late relapse of testicular embryonal carcinoma JF - Monaldi Archives for Chest Disease JA - Monaldi Arch Chest Dis VL - 90 IS - 1 SE - Pneumology - Case Reports DO - 10.4081/monaldi.2020.1206 UR - https://www.monaldi-archives.org/macd/article/view/1206 SP - AB - <p>Testicular carcinoma recurrences represent a rare finding (1-6% in non-seminomatous germ cell tumours). However, cases of recurrence have been described many years later. We report a case of late recurrence of embryonic testicular carcinoma, after 26 years, with pulmonary metastases. Following evidence of increase of alpha-fetoprotein (AFP), the patient underwent a total body computed tomography scan that exhibited two pulmonary nodules, one in upper left lobe and other in left hilar region with multiple mediastinal and retrocrural lymph node enlargements All consolidations showed increased sugar uptake value at PET CT. Biopsies of lung consolidations confirmed diagnosis of recurrence of testicular carcinoma.</p> ER -