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Difficulties in the diagnosis of metastatic testicular teratoma

R. Huddart, BA, MB, MRCP ^* N. R. Moore, MA, MRCP, FRCR M. V. Williams, MD, MRCP, FRCR and A. K. Dixon, MD, MRCP, FRCR

Department of Radiotherapy, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ Department of Radiology, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ

This excerpt was created in the absence of an abstract.

Testicular teratoma is the commonest malignancy in men aged 20–30 years. For those with metastatic disease, long term survival used to be exceptional, but with modern chemotherapy 85% will survive 5 years and be considered cured. We report two cases in whom A 38-year-old man presented with a 1-year history of painless swelling of the right testis. This had become painful during the month prior to admission. Examination revealed an enlarged right testis but was otherwise normal. He underwent immediate orchdiectomy at which a soft haemorrhagic partially cystic tumour was removed. This proved to be a malignant teratoma (undifferentiated) with lymphatic and venous invasion.

^* Current address: Department of Radiotherapy, Royal Marsden Hospital, Downs Road, Sutton, Surrey.

Received for publication March 1, 1989.