title: [Extragonadal germ cell tumor with "burned-out" phenomenon in the testis].
abstract: 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.
authors.affiliation: Servicio de Urología, Hospital Xeral de Vigo.
authors.forename: A
authors.initials: A
authors.lastname: Ojea Calvo
authors.forename: A
authors.initials: A
authors.lastname: Rodríguez Alonso
authors.forename: D
authors.initials: D
authors.lastname: Pérez García
authors.forename: F
authors.initials: F
authors.lastname: Domínguez Freire
authors.forename: A
authors.initials: A
authors.lastname: Alonso Rodrigo
authors.forename: B
authors.initials: B
authors.lastname: Rodríguez Iglesias
authors.forename: J
authors.initials: J
authors.lastname: Benavente Delgado
authors.forename: J M
authors.initials: JM
authors.lastname: Barros Rodríguez
authors.forename: C
authors.initials: C
authors.lastname: Fiaño Valverde
authors.forename: J L
authors.initials: JL
authors.lastname: Nogueira March
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D012186:Retroperitoneal Neoplasms / Q000556:secondary*; D018239:Seminoma / Q000556:secondary*; D013736:Testicular Neoplasms / Q000473:pathology*