title: A giant testicular mixed germ cell tumour.
abstract: We present a case that we believe to be the largest mixed germ cell testicular tumour reported in the United Kingdom. A 23-year-old male was admitted to our urology department with a large scrotal swelling. The patient was found to have a giant left testicular tumour and a solitary lung metastasis at presentation. He underwent an emergency radical orchidectomy and subsequently received four cycles of bleomycin, etoposide and cisplatin chemotherapy. Four months after starting treatment, the tumour markers had normalised and a repeat staging computed tomography showed no active disease. The tumour reached that size because of the patient's failure to seek medical attention due to fear and embarrassment.
authors.affiliation: James Cook University Hospital , Middlesbrough , UK.
authors.forename: A
authors.initials: A
authors.lastname: Reekhaye
authors.affiliation: James Cook University Hospital , Middlesbrough , UK.
authors.forename: A
authors.initials: A
authors.lastname: Harris
authors.affiliation: James Cook University Hospital , Middlesbrough , UK.
authors.forename: S
authors.initials: S
authors.lastname: Nagarajan
authors.affiliation: James Cook University Hospital , Middlesbrough , UK.
authors.forename: D
authors.initials: D
authors.lastname: Chadwick
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D018236:Carcinoma, Embryonal / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003131:Combined Modality Therapy; D018240:Endodermal Sinus Tumor / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary; D008297:Male; D009919:Orchiectomy; D013736:Testicular Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D055815:Young Adult
keywords: Giant; Mixed germ cell; Orchidectomy; Testicular tumour