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Case Report: Soft Tissue Metastasis from Immature Teratoma of the Testis: Second Case Report and Review of the Literature

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Clinical Orthopaedics and Related Research®

Abstract

Background

Testicular cancer, like other histopathologic types, commonly metastasizes to the lungs, liver, and brain. Spread to soft tissue, however, is rare with only four cases with seminoma reported. However, one case with metastasis of testicular immature teratoma to soft tissue was documented previously.

Case Description

We report the case of a 38-year-old man with recurrent immature teratoma of the testis who presented with a painless soft tissue mass in the left thigh previously treated with standard chemotherapy. After removal of the soft tissue mass, his serum alpha-fetoprotein level had returned to the normal range.

Literature Review

To our knowledge, this is the second case of immature teratoma of the testis metastasized to soft tissue.

Purposes and Clinical Relevance

We suggest that for a man with testicular cancer who has a soft tissue mass, metastasis of soft tissue from testicular cancer and other solid malignancies should be considered in the differential diagnosis of a soft tissue mass together with primary soft tissue sarcoma.

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Authors and Affiliations

  1. Department of Medical Oncology, Dr Lütfi Kırdar Kartal Education and Research Hospital, Istanbul, Turkey

    Ahmet Bilici MD, Bala Basak Oven Ustaalioglu MD & Mesut Seker MD

  2. Department of Pathology, Dr Lütfi Kırdar Kartal Education and Research Hospital, Istanbul, Turkey

    Sibel Kayahan MD

  3. Menderes Mah, 364 sok, Caglar Apt, No 16, Daire 1, 34210, Esenler, Istanbul, Turkey

    Ahmet Bilici MD

Authors
  1. Ahmet Bilici MD
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  2. Bala Basak Oven Ustaalioglu MD
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  3. Mesut Seker MD
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  4. Sibel Kayahan MD
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Corresponding author

Correspondence to Ahmet Bilici MD.

Additional information

Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

Each author certifies that his or her institution approved the reporting of this case report and that all investigations were conducted in conformity with ethical principles of research.

This work was performed at the Department of Medical Oncology, Dr Lütfi Kırdar Kartal Education and Research Hospital, Istanbul, Turkey.

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Bilici, A., Ustaalioglu, B.B.O., Seker, M. et al. Case Report: Soft Tissue Metastasis from Immature Teratoma of the Testis: Second Case Report and Review of the Literature. Clin Orthop Relat Res 468, 2541–2544 (2010). https://doi.org/10.1007/s11999-009-1173-3

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  • DOI: https://doi.org/10.1007/s11999-009-1173-3

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