Abstract
Introduction: Testicular Tumours account for 1%-3% of male cancers. More than 95% of testicular tumours arise from germ cells. Most of Non Seminomatous Germ Cell Tumour (NSGCTS) are mixture; known as mixed germ cell tumour. This tumour type is commonly in aged between 15 and 34; known to be more aggressive. Testicular cancer classically manifests as painless swelling or enlargement of the testicle that is usually not painful. Additionally, nearly one-fourth of patients with metastatic disease complaint of metastasis related symptoms. Determination of serum tumour markers can be useful for diagnosis, treatment and surveillance. Aim: Describe a clinical case of a metastatic mixed germ cell tumour. Case Report: We present a 25- year- old male, with a history of painless right testicle; treated as a hydrocele for almost 2 years. He came from a local clinic on acute right scrotum, suspecting a testicular torsion. After findings on examination and the report of emergency ultrasound, a testicular tumour is suspected and conventional right radical orchiectomy was performed. The biopsy and Inmunohistochemistry reported a NSGCTS with a teratoma and York sac tumour component. Subsequent studies confirmed lung metastasis. Patient went to oncology for adjuvant treatment. Although a great clinical improvement was observed initially, the patient does not complete the chemotherapy and unfortunately was getting worse. Conclusions: Testicular cancer is the only urological tumour can be 100% curable. Especially affects young people. Information and Health Education; are medical actions of vital importance for early diagnosis, effective treatment and long survival.
Keys words: Germ cell tumour, testis, non seminomatous tumour, mixed testicular tumour.