Abstract
56 years-old, an old age for pure seminomatous germ cell tumor: Case report and Review of the literature
Highlights
Germ cell tumors (GCTs) are considered the most common solid tumors in young adults, but they are infrequent in the elder population [1]
The incidence of seminoma and nonseminomatous GCT (NSGCT) differs across age groups: it is the highest between ages of 35 and 39 years for seminoma compared with 25 to 29 years for NSGCT
It is unusual in elder population [1]. 9000 cases of GCT are approximately diagnosed in the united states annually
Summary
Germ cell tumors (GCTs) are considered the most common solid tumors in young adults, but they are infrequent in the elder population [1]. The total body scan revealed the presence of known bilateral lung nodules with hilar and mediastinal lymphadenopathies secondary to his sarcoidosis These latter were biopsied and the non-caseating granulomas of sarcoidosis were confirmed. The patient was diagnosed with a relapse of his known pure seminoma He received a systemic chemotherapeutic treatment for his recurrent disease consisting of EP protocol. Our patient had a diagnosis of right testicular pure seminomatous germ cell tumor at the age of and suffered from a retroperitoneal recurrence 9 months later, at years old. He received a standard cytotoxic chemotherapeutic regimen with 4 cycles of Etoposide and Cisplatin at full doses. The treatment was well tolerated and the patient is currently in complete remission on regular follow up: clinical, laboratory and radiologic evaluations every 3 months
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