Abstract
We report a histologically pure stage 1 seminoma with an elevated human chorionic gonadotropin (hCG). A 38 year-old man was referred for the evaluation of the left testicular swelling. He showed an elevated serum hCG level of 25,265 mIU/ml with normal a fetoprotein and lactate dehydrogenase. Imaging showed heterogeneous tumor without any metastatic lesions. We conducted 4 courses of chemotherapy before detecting hCG nadir. The final pathological report showed pure seminoma with syncytiotrophoblastic cells but no choriocarcinoma components. The patient remains disease free until present time. The case raised several questions regarding diagnosis and treatment strategy for bulky testicular seminoma.
Original language | English |
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Pages (from-to) | 48-50 |
Number of pages | 3 |
Journal | Urology Case Reports |
Volume | 9 |
DOIs | |
Publication status | Published - 2016 Nov 1 |
Externally published | Yes |
Keywords
- Seminoma
- Syncytiotrophoblastic cells
- hCG
ASJC Scopus subject areas
- Urology