Abstract
Introduction: Over the past 3 decades, the appropriate management of metastatic germ cell tumours (GCT) has been defined by several phase III trials. Many follow-up recommendations have been published based on expert consensus. However, common clinical scenarios can still be vexing for clinicians who are less experienced at managing patients with testicular cancer. Case Report: We highlight the arduous diagnostic work-up of a suspected late relapsing metastatic GCT in a patient suffering from fatigue, weight loss and prominent retroperitoneal lymph nodes, 4 years after first-line chemotherapy for metastatic seminoma. The various explorations finally led to the diagnosis of Whipple's disease. Conclusion: This unusual clinical case strongly highlights the need to perform an exhaustive evaluation, with a biopsy, if a late recurrent GCT is suspected to avoid pointless and potentially harmful treatment.
Original language | English |
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Pages (from-to) | 286-288 |
Number of pages | 3 |
Journal | Oncology Research and Treatment |
Volume | 38 |
Issue number | 6 |
DOIs | |
Publication status | Published - 1 Jun 2015 |
Keywords
- Lymph node status
- Recurrence
- Seminoma
- Testicular cancer