title: Conservative surgery and quality of life in a young patient with synchronous bilateral embryonal carcinoma.
abstract: Synchronous bilateral testicular germ cell tumours are rare. We report a case with retroperitoneal node involvement (stage IIb). Testis-sparing surgery, followed by systemic PEB chemotherapy, was performed instead of bilateral radical orchiectomy plus retroperitoneal lymphadenectomy. A good quality of life was obtained. Management of the case and review of the literature are presented.
authors.affiliation: Department of Urology, University of Perugia, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Mearini
authors.forename: S
authors.initials: S
authors.lastname: Bracarda
authors.forename: L
authors.initials: L
authors.lastname: Crinò
authors.forename: A
authors.initials: A
authors.lastname: Zucchi
authors.forename: M
authors.initials: M
authors.lastname: Porena
mesh_terms: D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D018236:Carcinoma, Embryonal / Q000000981:diagnostic imaging / Q000523:psychology / Q000601:surgery*; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D006801:Humans; D008297:Male; D011788:Quality of Life; D013736:Testicular Neoplasms / Q000000981:diagnostic imaging / Q000523:psychology / Q000601:surgery*; D014463:Ultrasonography