title: A rare case of advanced testicular seminoma in a 78-year-old man managed successfully with carboplatin based chemotherapy: a case report.
abstract: BACKGROUND
  Germ cell tumours are uncommon in aged man. We present a rare case of metastatic seminoma of the testis associated with liver and renal insufficiencies in a 78-years-old man managed successfully with carboplatin based chemotherapy.
  
  
  METHODS
  A 78 years old man admitted with signs and symptoms suggestive of a testicular cancer with alteration of health. Computed tomography of the pelvis and abdomen showed a large retroperitoneal tumour. The diagnosis of seminoma was established from the histological study of the left orchidectomy. At admission, the liver and renal check-up showed liver and renal insufficiencies.
  
  
  CONCLUSIONS
  The patient received 4 of carboplatin based chemotherapy with significant improvement in symptoms, and complete radiological response.
authors.affiliation: Department of Medical Oncology at National Institute of Oncology, Rabat, Morocco. ismailinabil@yahoo.fr.
authors.forename: Nabil
authors.initials: N
authors.lastname: Ismaili
authors.forename: Sarah
authors.initials: S
authors.lastname: Naciri
authors.forename: Said
authors.initials: S
authors.lastname: Afqir
authors.forename: Nawfel
authors.initials: N
authors.lastname: Mellas
authors.forename: Imane
authors.initials: I
authors.lastname: Bekkouch
authors.forename: Sanaa
authors.initials: S
authors.lastname: Elmajjaoui
authors.forename: Ouafae
authors.initials: O
authors.lastname: Masbah
authors.forename: Nazih
authors.initials: N
authors.lastname: Othmani
authors.forename: Aude
authors.initials: A
authors.lastname: Flechon
authors.forename: Jean Pierre
authors.initials: JP
authors.lastname: Droz
authors.forename: Hassan
authors.initials: H
authors.lastname: Errihani