title: Very late relapse of germ cell tumor as a teratoma: a case report and review of the literature.
abstract: Very late relapses of germ cell tumors (GCTs) are rare. There are few reports of relapses occurring beyond 20 years of initial treatment. Here we describe a case of a very late relapse of Stage I testicular non-seminomatous germ cell tumor 27 years after orchiectomy. The relapse presented as a retroperitoneal mass in the precaval lymph nodes with negative tumor markers. It was resected and pathology confirmed it as metastatic teratoma. This case emphasizes the importance of lifelong surveillance for patients with GCTs.
authors.affiliation: Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA waddah.ar@gmail.com.
authors.forename: Waddah
authors.initials: W
authors.lastname: Arafat
authors.affiliation: Department of Medicine, Division of Hematology and Oncology, Indiana University School of Medicine, Indianapolis, IN, USA.
authors.forename: Costantine
authors.initials: C
authors.lastname: Albany
authors.affiliation: Department of Pathology, Indiana University School of Medicine, Indianapolis, IN, USA.
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Ulbright
authors.affiliation: Department of Urology, Indiana University School of Medicine, Indianapolis, IN, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Foster
authors.affiliation: Department of Medicine, Division of Hematology and Oncology, Indiana University School of Medicine, Indianapolis, IN, USA.
authors.forename: Lawrence H
authors.initials: LH
authors.lastname: Einhorn