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Case Study
Published: 16-11-2020

Testicular non-seminomatous germ cell tumour presenting as a neck lump: a diagnostic and therapeutic challenge

Department of General Surgery, Aberdeen Royal Infirmary, Aberdeen, UK
Department of Otolaryngology-head and neck surgery, Aberdeen Royal Infirmary, Aberdeen, UK
Department of Otolaryngology-head and neck surgery, Aberdeen Royal Infirmary, Aberdeen, UK
Department of Pathology, Aberdeen Royal Infirmary, Aberdeen, UK
Department of Otolaryngology-head and neck surgery, Aberdeen Royal Infirmary, Aberdeen, UK
Testicular germ cell Tumours Neck lump Metastasis Surgery Follow-up

Abstract

Testicular tumours are one of the most prevalent cancers in young males. Teratoma is one type of testicular tumour, which carries a good prognosis if treated appropriately. We describe a case of a 37 year old man, diagnosed with testicular non-seminomatous germ cell tumour in 2005. He underwent left orchidectomy and radical chemotherapy with Bleomycin, Etoposide and Cisplatin. He had involved retroperitoneal lymph nodes at the time of diagnosis and underwent retroperitoneal lymphadenectomy in 2007. He made a good recovery but presented with a left neck lump in 2009, the appearance of which suggested differentiated teratoma on fine needle aspiration cytology. The neck lump was excised without any complications and histology confirmed the mass to be mature teratoma with no undifferentiated elements. He has remained disease free since then and remains under oncological surveillance, in keeping with current protocols.

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How to Cite

Hasan, M., Duff, L., Drever, S. K., Chapman, A., & Shakeel, M. (2020). Testicular non-seminomatous germ cell tumour presenting as a neck lump: a diagnostic and therapeutic challenge. MedNEXT Journal of Medical and Health Sciences, 1(1), 19–23. https://doi.org/10.34256/mdnt2014