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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Main Authors: Dipti Rani Samanta, Chaitali Bose, Roopesh Krishnappa, Saumyaranjan Mishra, Sulagna Mohanty, Ashish Upadhyay, Surendra Nath Senapati
Format: Article
Language:English
Published: Wiley 2015-01-01
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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