Immature teratoma with choriocarcinoma-like lesion of testis: case report of an unusual presentation.
An eighteen year old male presented with hemoptysis and superior vena caval syndrome. History and clinical examination revealed a testicular mass which was previously diagnosed as hematocele. Chest x-ray showed a four cm diameter shadow and several smaller shadows. Histological examination of the testicular mass established it as immature teratoma with choriocarcinoma-like lesion (CCLL)--a rare association in testicular tumours. Focal positivity for betaHCG was noted in the testicular tumour. Guided aspiration of the lung showed features of a metastatic non seminomatous germ cell tumour.
Konar
Abantika
A
Department of Pathology, N. R. S. Medical College, Kolkata. sudiptach@gmail.com
Biswas
Saumitra
S
Chakraborti
Sudipta
S
Sarkar
Supriya
S
Das
Shikha
S
D000293:Adolescent; D031954:Choriocarcinoma, Non-gestational / Q000378:metabolism / Q000473:pathology*; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000378:metabolism; D006801:Humans; D007150:Immunohistochemistry; D008175:Lung Neoplasms / Q000556:secondary; D008297:Male; D013724:Teratoma / Q000378:metabolism / Q000473:pathology*; D013736:Testicular Neoplasms / Q000378:metabolism / Q000473:pathology*
D018997:Chorionic Gonadotropin, beta Subunit, Human