title: Osteolytic bone destruction resulting from relapse of a testicular tumour 23 years after inguinal orchiectomy and adjuvant chemotherapy: a case report.
abstract: BACKGROUND
  Late relapse of a testicular germ cell tumour is an uncommon occurrence. We report a case of osteolytic bone metastasis appearing 23 years after the initial treatment of a metastatic testicular mixed tumour (choriocarcinoma and embryonal carcinoma). This is one of the longest periods of recurrence reported for testicular germ cell tumours.
  
  
  METHODS
  A 52-year-old Caucasian man who underwent a right inguinal orchiectomy due to testicular tumour in 1984 presented to our outpatient clinic in a generally bad condition of health and with severe pain of his right hip joint and os ischii caused by osteolytic metastasis.
  
  
  CONCLUSIONS
  This case emphasizes the need for a life-long follow-up of patients with primary metastatic testicular cancer.
authors.affiliation: Department of Urology, Democritus University of Thrace Alexandroupolis Greece.
authors.forename: Christos
authors.initials: C
authors.lastname: Kalaitzis
authors.forename: Athanasios
authors.initials: A
authors.lastname: Bantis
authors.forename: Georgios
authors.initials: G
authors.lastname: Tsakaldimis
authors.forename: Stylianos
authors.initials: S
authors.lastname: Giannakopoulos
authors.forename: Efthimios
authors.initials: E
authors.lastname: Sivridis
authors.forename: Stavros
authors.initials: S
authors.lastname: Touloupidis