Pulmonary metastasis: very late relapse of testicular embryonal carcinoma

Submitted: November 30, 2019
Accepted: January 28, 2020
Published: April 8, 2020
Abstract Views: 1339
PDF: 581
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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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Flora, Martina, Adriano Costigliola, Sabrina Lavoretano, Mariano Mollica, Carmelindo M.E. Tranfa, Fabio Perrotta, and Cecilia Calabrese. 2020. “Pulmonary Metastasis: Very Late Relapse of Testicular Embryonal Carcinoma”. Monaldi Archives for Chest Disease 90 (1). https://doi.org/10.4081/monaldi.2020.1206.