Pulmonary metastasis: very late relapse of testicular embryonal carcinoma.

Testicular carcinoma recurrences represent a rare finding (1-6% in non-seminomatous germ cell tumours). However, cases of recurrence have been described many years later. We report a case of late recurrence of embryonic testicular carcinoma, after 26 years, with pulmonary metastases. Following evidence of increase of alpha-fetoprotein (AFP), the patient underwent a total body computed tomography scan that exhibited two pulmonary nodules, one in upper left lobe and other in left hilar region with multiple mediastinal and retrocrural lymph node enlargements All consolidations showed increased sugar uptake value at PET CT. Biopsies of lung consolidations confirmed diagnosis of recurrence of testicular carcinoma.

Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace. 2020 Apr 08*** epublish ***

Martina Flora, Adriano Costigliola, Sabrina Lavoretano, Mariano Mollica, Carmelindo M E Tranfa, Fabio Perrotta, Cecilia Calabrese

Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Naples. ., Università degli studi della Campania Luigi Vanvitelli, reparto di pneumologia, ospedale Monaldi. ., Department of Medicine and Health Sciences V. Tiberio, University of Molise, Campobasso. .

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