[Extragonadal germ cell tumor with "burned-out" phenomenon in the testis].
The "burned-out" phenomenon in germ-cell neoplasias is defined by the presence of an extragonadal germ-cell tumour with no tumour at the testis level where a series of distinctive histological lesions can be detected indicative of the earlier presence of an already disappeared testicle tumoration. Extragonadal germ-cell tumours with "burned-out" phenomenon show better evolution than their primary counterparts and are treated similarly to primary tumours of the testis. Currently, in the presence of retroperitoneal tumoration, a scrotal ultrasound study with high frequency transducers can lead to a suspected picture of tumoral involution. This paper contributes one retroperitoneal seminoma with "burned-out" phenomenon in the homolateral testis in a 35-year old patient. Available clinical and radiological criteria were enough to reach a suspected diagnosis. Homolateral orchiectomy and biopsy of retroperitoneal tumoration were performed, rounding treatment up with polychemotherapy. Evolution was good with immediate complete response.
Ojea Calvo
A
A
Servicio de Urología, Hospital Xeral de Vigo.
Rodríguez Alonso
A
A
Pérez García
D
D
Domínguez Freire
F
F
Alonso Rodrigo
A
A
Rodríguez Iglesias
B
B
Benavente Delgado
J
J
Barros Rodríguez
J M
JM
Fiaño Valverde
C
C
Nogueira March
J L
JL
D000328:Adult; D006801:Humans; D008297:Male; D012186:Retroperitoneal Neoplasms / Q000556:secondary*; D018239:Seminoma / Q000556:secondary*; D013736:Testicular Neoplasms / Q000473:pathology*