Growing teratoma syndrome.
A 40-year-old man presented with abdominal pain and right scrotal swelling. Physical examination revealed a right testicular tumor and CT scan showed a large retroperitoneal mass. The patient underwent right radical orchiectomy, and pathology showed mixed germ cell tumor. After 1 cycle of chemotherapy, CT scan showed interval enlargement of the retroperitoneal mass. Percutaneous biopsy was consistent with teratoma. The patient refused surgical intervention and was noncompliant with follow-up. Four months after presentation, CT scan showed increasing abdominal lymphadenopathy. The patient received 4 cycles of chemotherapy. He presented 4 months later with massive lymphadenopathy and expired before planned palliative surgery.
Karam
Jose A
JA
Department of Urology, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas 75390-9110, USA. Jose.Karam@yahoo.com
Raj
Ganesh V
GV
D000328:Adult; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D013577:Syndrome; D013724:Teratoma / Q000175:diagnosis / Q000628:therapy; D013736:Testicular Neoplasms / Q000175:diagnosis / Q000628:therapy