Extra-gonadal germ cell tumour – what about the testis!
Extra-gonadal germ cell tumours (EGGCT) are rare. Therefore further investigations of the testis is aimed at sourcing a possible primary origin of gonadal tumour. Over the years, various case series on EGGCT have been reported questioning its true nature as in a majority of them, a primary source is...
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Department of Surgery, UKM Medical Centre
2011
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my-ukm.journal.8072016-12-14T06:28:14Z http://journalarticle.ukm.my/807/ Extra-gonadal germ cell tumour – what about the testis! Johann FK, Praveen S, Christopher CKH, Goh EH, Razman J, Zulkifli MZ, Extra-gonadal germ cell tumours (EGGCT) are rare. Therefore further investigations of the testis is aimed at sourcing a possible primary origin of gonadal tumour. Over the years, various case series on EGGCT have been reported questioning its true nature as in a majority of them, a primary source is found in the testis, thus representing a metastatic gonadal tumour. The testis pathology could be either a true germ cell foci, an intra-tubular epithelial neoplasia or an area of fibrosis, indicating a „burnt out tumour‟. We report a 39-year-old male who underwent laparotomy and excision of a retroperitoneal tumour. Histopathological examination revealed retroperitoneal lymph node of mixed germ cell tumour origin. Clinical and ultrasound examination of bilateral testis was normal. The patient refused orchidectomy or a testicular biopsy. He underwent four cycles of bleomycin, cisplatin, and etoposide with no evidence of tumour recurrence on follow up and remains disease free after 12 months of diagnosis. A literature review of EGGCT, its relation and factors relating with future testicular tumour is presented. Department of Surgery, UKM Medical Centre 2011-04-04 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/807/1/34-36.pdf Johann FK, and Praveen S, and Christopher CKH, and Goh EH, and Razman J, and Zulkifli MZ, (2011) Extra-gonadal germ cell tumour – what about the testis! Journal of Surgical Academia, 1 (1). pp. 34-36. ISSN 2231-7481 http://jsurgacad.com/ |
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Extra-gonadal germ cell tumours (EGGCT) are rare. Therefore further investigations of the testis is aimed at sourcing a possible primary origin of gonadal tumour. Over the years, various case series on EGGCT have been reported questioning its true nature as in a majority of them, a primary source is found in the testis, thus representing a metastatic gonadal tumour. The testis pathology could be either a true germ cell foci, an intra-tubular epithelial neoplasia or an area of fibrosis, indicating a „burnt out tumour‟. We report a 39-year-old male who underwent laparotomy and excision of a retroperitoneal tumour. Histopathological examination revealed retroperitoneal lymph node of mixed germ cell tumour origin. Clinical and ultrasound examination of bilateral testis was normal. The patient refused orchidectomy or a testicular biopsy. He underwent four cycles of bleomycin, cisplatin, and etoposide with no evidence of tumour recurrence on follow up and remains disease free after 12 months of diagnosis. A literature review of EGGCT, its relation and factors relating with future testicular tumour is presented. |
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Johann FK, Praveen S, Christopher CKH, Goh EH, Razman J, Zulkifli MZ, |
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Johann FK, Praveen S, Christopher CKH, Goh EH, Razman J, Zulkifli MZ, Extra-gonadal germ cell tumour – what about the testis! |
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Johann FK, Praveen S, Christopher CKH, Goh EH, Razman J, Zulkifli MZ, |
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Johann FK, |
title |
Extra-gonadal germ cell tumour – what about the testis! |
title_short |
Extra-gonadal germ cell tumour – what about the testis! |
title_full |
Extra-gonadal germ cell tumour – what about the testis! |
title_fullStr |
Extra-gonadal germ cell tumour – what about the testis! |
title_full_unstemmed |
Extra-gonadal germ cell tumour – what about the testis! |
title_sort |
extra-gonadal germ cell tumour – what about the testis! |
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Department of Surgery, UKM Medical Centre |
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2011 |
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http://journalarticle.ukm.my/807/1/34-36.pdf http://journalarticle.ukm.my/807/ http://jsurgacad.com/ |
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