title: [The treatment of metastasic testicular pure mature teratoma].
abstract: OBJECTIVE
  Given the low frequency of testicular teratoma in relation to the rest of germ cell testicular tumors and the various treatment options for advanced stages, we report one case of advanced testicular mature teratoma with retroperitoneal adenopathy in which orchyectomy was performed after retroperitoneal lymphadenectomy, with the some pathology found in the primary tumor.
  
  
  METHODS
  We do an update on the treatment for these stages with the possibility of beginning with chemotherapy leaving lymphadenectomy for residual masses, or the contrary, being most cases treated in a mixed way.
  
  
  CONCLUSIONS
  Without clear evidence for guidelines in these tumors, it is recommended to individualize the treatment for each patient, accordingly to tumor characteristics, probability of relapse and follow-up.
authors.affiliation: Hospital Universitario Miguel Servet, Zaragoza, España. pserranof@comz.org
authors.forename: Patricia
authors.initials: P
authors.lastname: Serrano
authors.forename: Alberto
authors.initials: A
authors.lastname: Fantova
authors.forename: Mar
authors.initials: M
authors.lastname: Pascual
authors.forename: Marta
authors.initials: M
authors.lastname: Allué
authors.forename: Maria Jesús
authors.initials: MJ
authors.lastname: Gil
authors.forename: Luis Angel
authors.initials: LA
authors.lastname: Rioja
mesh_terms: D000328:Adult; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D013724:Teratoma / Q000556:secondary* / Q000601:surgery*; D013736:Testicular Neoplasms / Q000473:pathology* / Q000601:surgery*