[Neurological metastases secondary to germ cell testicular tumor].
OBJECTIVE
Neurological metastases secondary to urological tumors account for 12% overall. The ones derived from germ cells testicular tumors are exceptional in the age of cisplatin.


METHODS
We report one case of mixed germ cell tumor in a 49-year-old male patient treated with systemic chemotherapy during 18 months before presenting with severe central and peripheral neurological symptoms leading to death due to massive cerebral hemorrhage.


RESULTS
We describe three types of presentation of cerebral metastases in patients with testicular cancer. Type I present synchronically with the primary tumor. Type 2 are diagnosed after a period of remission after conventional cytostatic treatment. Type 3 metastases are diagnosed during the course of the disease and its treatment.


CONCLUSIONS
Except unique metastases classified in groups 1 and 2, which are susceptible of surgery or radiosurgery, in which in response may be expected; the rest of lesions secondary to germ cell tumors have an ominous prognosis and outcomes, with short survivals.
Llarena Ibarguren
Roberto
R
Servicio de Urología, Hospital de Cruces, Baracaldo, Vizcaya, España. rllarena@euskalnet.net
Azurmendi Arín
Igor
I
García-Olaverri Rodríguez
Jorge
J
Olano Grasa
Ivan
I
Canton Aller
Emilio
E
Pertusa Peña
Carlos
C
D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009373:Neoplasms, Germ Cell and Embryonal / Q000556:secondary*; D009423:Nervous System Neoplasms / Q000556:secondary*; D013736:Testicular Neoplasms / Q000473:pathology*