Pneumology - Case Reports
April 8, 2020
Vol. 90 No. 1 (2020)
Pulmonary metastasis: very late relapse of testicular embryonal carcinoma
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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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.
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“Pulmonary Metastasis: Very Late Relapse of Testicular Embryonal Carcinoma”. 2020. Monaldi Archives for Chest Disease 90 (1). https://doi.org/10.4081/monaldi.2020.1206.