2021, Number 3
Presentation of a case of testicular teratoma
Language: Spanish
References: 13
Page:
PDF size: 657.02 Kb.
ABSTRACT
Testicular teratoma is an infrequent condition, representing 5% of the germ cell tumors. The purpose of the article is to describe a case of malignant testicular teratoma. A case is presented of a male 22-year-old patient who reported pain and increased volume in his right testicle after experiencing a genital trauma. Physical examination found pain at palpation, and increased size and consistency in the testicle. Treatment was applied without a favorable evolution. Blood chemistry and tumor markers were within normal limits. Ultrasonography and computerized axial tomography revealed the presence of a right testicular tumor. Inguinal orchiectomy was performed with high spermatic cord ligation and right superficial inguinal lymphadenectomy. Histological testing showed the presence of a cystic teratoma with atypical and immature elements, a low degree of malignancy and no lymph nodes. In conclusion, early diagnosis combined with surgical treatment, chemotherapy and/or radiotherapy, raise the survival rate and delay the occurrence of metastasis.REFERENCES
Algarín Villalón E, Bouzó López A, Chamble Castellanos JE, Rodríguez Bueno RH, Rivera Marrero MA, Mir Espinosa YL. Comportamiento atípico de un tumor testicular de células germinales. Rev Cubana Oncol. 2020 [acceso 12/02/2021];18(3):e_43. Disponible en: http://www.revoncologia.sld.cu/index.php/onc/article/view/43/47
Oldenburg J, Fossa SD, Nuver J, Heidenreich A, Schmoll HJ, Bokemeyer C, et al. Testicular seminoma and non-seminoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2013 [acceso 12/02/2021];24 Suppl 6:vi125-32. Disponible en: https://www.annalsofoncology.org/article/S0923-7534(19)31559-5/fulltext
Martínez Huertas C, Martín Mellado R, Milena Muñoz A, Valero Rosa IC, Jiménez Coronel V, Gutiérrez Gallardo M. Estudio ecográfico de los tumores testiculares. SERAM. 2018 [acceso 12/02/2021]:[aprox. 9 pantallas]. Disponible en: https://piper.espacio-seram.com/index.php/seram/article/download/1921/965/
Azizi M, Aydin AM, Cheriyan SK, Peyton CHC, Montanarella M, Gilbert SM, et al. Therapeutic strategies for uncommon testis cancer histologies: teratoma with malignant transformation and malignant testicular sex cord stromal tumors. Transl Androl Urol. 2020 [acceso 15/12/2020];9(Suppl1):S91-S103. Disponible en: https://tau.amegroups.com/article/view/29724/27824