Neck mass as the first presentation of testicular choriocarcinoma.
Choriocarcinoma is a highly malignant tumor of the testis and usually occurs as a component of mixed germ cell tumor. The testicular enlargement may be subtle, and the patient may present with metastasis, the neck being one of its least reported locations. A case of testicular choriocarcinoma in a 24-year-old man who presented for the first time with metastatic neck mass is reported here. This presentation, although very rare, can be a great diagnostic and therapeutic challenge and should be considered in the differential diagnosis of cervical masses occurring in young males.
Ahmadi
Sayed Ali
SA
Department of Pathology, Tehran University of Medical Sciences, Sina Hospital, Tehran, Iran. ahmadise@tums.ac.ir
Tavakoli
Hassan
H
Samadi
Nasrin
N
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols; D014408:Biomarkers, Tumor; D002822:Choriocarcinoma / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D006063:Chorionic Gonadotropin / Q000097:blood; D003937:Diagnosis, Differential; D006258:Head and Neck Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D006801:Humans; D008297:Male; D013736:Testicular Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler
D014408:Biomarkers, Tumor; D006063:Chorionic Gonadotropin