Unusual presentation of mixed germ cell tumour from testis in a 45-year-old man

Testicular cancer is a common neoplasm in young and middle-aged men. Although, the most common presentation is a palpable testicular mass, it can present with atypical symptoms. There is a lack of awareness among primary-care physicians about the less common presentations of testicular tumours. Earl...

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Bibliographic Details
Published in:BMJ case reports 2011-05, Vol.2011 (may08 1), p.bcr1220103565-bcr1220103565
Main Authors: Wani, Abdul Majid, Al Zayyani, Najah Rashid, Jacob, Sunita
Format: Article
Language:English
Subjects:
Abdomen
Anemia
Antigens
Biomarkers
Biopsy
Chemotherapy
Dehydrogenases
Diagnosis, Differential
Humans
Lymphoma
Male
Medical imaging
Metastasis
Middle Aged
Middle-East
Mixed Tumor, Malignant - diagnosis
Mixed Tumor, Malignant - pathology
Mixed Tumor, Malignant - surgery
Neoplasms, Germ Cell and Embryonal - diagnosis
Neoplasms, Germ Cell and Embryonal - pathology
Neoplasms, Germ Cell and Embryonal - surgery
Orchiectomy
Proteins
Testes
Testicular cancer
Testicular Neoplasms - diagnosis
Testicular Neoplasms - pathology
Testicular Neoplasms - surgery
Testis - pathology
Tuberculosis
Tumors
Ultrasonic imaging
Unusual Association of Diseases/Symptoms
Citations: Items that cite this one
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Summary:Testicular cancer is a common neoplasm in young and middle-aged men. Although, the most common presentation is a palpable testicular mass, it can present with atypical symptoms. There is a lack of awareness among primary-care physicians about the less common presentations of testicular tumours. Early detection is a key prognostic variable. Fever, weight loss, sweating and pain in the abdomen for 4 months in an adult man has multiple differential diagnoses especially if epigastric mass is present. We are presenting an interesting case of fever, weight loss, pain and mass epigastrium and generalised lymphadenopathy which proved to be a testicular germ cell tumour without any testicular symptoms and with normal tumour markers.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr.12.2010.3565