title: Back pain--a presentation of metastatic testicular germ cell tumours.
abstract: 9 patients (21%) from a total of 42 young men with testicular germ cell malignancy had back pain as a major presenting symptom; 2 had back pain without unilateral testicular enlargement. Time to correct diagnosis from first visit to a doctor was significantly longer in those with back pain than in those with testicular symptoms. All patients with back pain had para-aortic node metastases. Young men with back pain should be examined for testicular disease and should also be asked about past testicular abnormalities.
mesh_terms: D000328:Adult; D001416:Back Pain / Q000209:etiology*; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary; D008175:Lung Neoplasms / Q000556:secondary; D008207:Lymphatic Metastasis; D008297:Male; D009373:Neoplasms, Germ Cell and Embryonal / Q000150:complications* / Q000175:diagnosis; D013736:Testicular Neoplasms / Q000150:complications* / Q000175:diagnosis; D013997:Time Factors