Skin metastasis: a rare presentation in testicular germ cell tumour

A 35-year-old man presented with a history of cough, haemoptysis, weight loss for 2 months along with ulceroproliferative lesions on the chin and the scalp. On evaluation he was found to have non-seminomatous germ cell tumour, stage 3 c, poor risk with Eastern Cooperative Oncology Group Performance Status of 4. The skin lesions were proven to be metastasis by fine-needle aspiration cytology. He showed significant improvement with a 3-day protocol of abbreviated etoposide and cisplatin chemotherapy and is planned for 4 cycles of VIP. This case describes an uncommon presentation of germ cell tumour in the form of skin metastasis with excellent response to chemotherapy.

BMJ case reports. 2018 Sep 23*** epublish ***

Ilavarasi Vanidassane, Abhenil Mittal, Chandan Kumar, Pranay Tanwar, Ranjit Kumar Sahoo, Atul Batra

Department of Medical Oncology, BRAIRCH, AIIMS, New Delhi, India., Laboratory Oncology Unit, BRAIRCH, AIIMS, New Delhi, India.