Mixed Germ Cell Tumor of Testis with Isolated Scapular Metastasis: A Case Report and Review of the Literature
Bone metastasis is a rare entity in germ cell tumor of testis and is a poor prognostic site. It is usually associated with synchronous metastasis at other sites. Till now very few cases of isolated bone metastasis of germ cell tumor of testis have been reported but none have reported scapular metast...
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Format: | Article |
Language: | English |
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Wiley
2015-01-01
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Series: | Case Reports in Urology |
Online Access: | http://dx.doi.org/10.1155/2015/205297 |
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author | Dipti Rani Samanta Chaitali Bose Roopesh Krishnappa Saumyaranjan Mishra Sulagna Mohanty Ashish Upadhyay Surendra Nath Senapati |
author_facet | Dipti Rani Samanta Chaitali Bose Roopesh Krishnappa Saumyaranjan Mishra Sulagna Mohanty Ashish Upadhyay Surendra Nath Senapati |
author_sort | Dipti Rani Samanta |
collection | DOAJ |
description | Bone metastasis is a rare entity in germ cell tumor of testis and is a poor prognostic site. It is usually associated with synchronous metastasis at other sites. Till now very few cases of isolated bone metastasis of germ cell tumor of testis have been reported but none have reported scapular metastasis. We are reporting a case of nonseminomatous germ cell tumor of right testis that was operated eight months ago and now presented with isolated scapular metastasis. Histopathology of the scapular tissue revealed rhabdomyosarcoma or poorly differentiated synovial sarcoma. Immunohistochemistry with serum markers concluded it to be metastatic germ cell tumor. To the best of our knowledge this is the first reported case of scapular metastasis of testicular germ cell tumor. This case is being reported here due to dilemmatic way of presentation and also to emphasize that histopathology may sometimes misguide and immunohistochemistry is necessary in such cases. |
format | Article |
id | doaj-art-ec81c2d285204c7d9cf4015fbe14d733 |
institution | Kabale University |
issn | 2090-696X 2090-6978 |
language | English |
publishDate | 2015-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Urology |
spelling | doaj-art-ec81c2d285204c7d9cf4015fbe14d7332025-02-03T01:07:23ZengWileyCase Reports in Urology2090-696X2090-69782015-01-01201510.1155/2015/205297205297Mixed Germ Cell Tumor of Testis with Isolated Scapular Metastasis: A Case Report and Review of the LiteratureDipti Rani Samanta0Chaitali Bose1Roopesh Krishnappa2Saumyaranjan Mishra3Sulagna Mohanty4Ashish Upadhyay5Surendra Nath Senapati6Medical Oncology, A. H. Regional Cancer Centre, Odisha 753007, IndiaRadiation Oncology, A. H. Regional Cancer Centre, Odisha 753007, IndiaRadiation Oncology, Apollo Hospital, Hyderabad, Andhra Pradesh, IndiaRadiation Oncology, A. H. Regional Cancer Centre, Odisha 753007, IndiaRadiation Oncology, A. H. Regional Cancer Centre, Odisha 753007, IndiaRadiation Oncology, A. H. Regional Cancer Centre, Odisha 753007, IndiaRadiation Oncology, A. H. Regional Cancer Centre, Odisha 753007, IndiaBone metastasis is a rare entity in germ cell tumor of testis and is a poor prognostic site. It is usually associated with synchronous metastasis at other sites. Till now very few cases of isolated bone metastasis of germ cell tumor of testis have been reported but none have reported scapular metastasis. We are reporting a case of nonseminomatous germ cell tumor of right testis that was operated eight months ago and now presented with isolated scapular metastasis. Histopathology of the scapular tissue revealed rhabdomyosarcoma or poorly differentiated synovial sarcoma. Immunohistochemistry with serum markers concluded it to be metastatic germ cell tumor. To the best of our knowledge this is the first reported case of scapular metastasis of testicular germ cell tumor. This case is being reported here due to dilemmatic way of presentation and also to emphasize that histopathology may sometimes misguide and immunohistochemistry is necessary in such cases.http://dx.doi.org/10.1155/2015/205297 |
spellingShingle | Dipti Rani Samanta Chaitali Bose Roopesh Krishnappa Saumyaranjan Mishra Sulagna Mohanty Ashish Upadhyay Surendra Nath Senapati Mixed Germ Cell Tumor of Testis with Isolated Scapular Metastasis: A Case Report and Review of the Literature Case Reports in Urology |
title | Mixed Germ Cell Tumor of Testis with Isolated Scapular Metastasis: A Case Report and Review of the Literature |
title_full | Mixed Germ Cell Tumor of Testis with Isolated Scapular Metastasis: A Case Report and Review of the Literature |
title_fullStr | Mixed Germ Cell Tumor of Testis with Isolated Scapular Metastasis: A Case Report and Review of the Literature |
title_full_unstemmed | Mixed Germ Cell Tumor of Testis with Isolated Scapular Metastasis: A Case Report and Review of the Literature |
title_short | Mixed Germ Cell Tumor of Testis with Isolated Scapular Metastasis: A Case Report and Review of the Literature |
title_sort | mixed germ cell tumor of testis with isolated scapular metastasis a case report and review of the literature |
url | http://dx.doi.org/10.1155/2015/205297 |
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