Abstract
Testicular cancer is rare. The authors report the case of a young Senegalese 21, who has consulted for an occlusive syndrome evolving for 48 hours that prompted his hospitalization. Note that the patient has consulted several times to persistent inguinal scrotal pain, a big right purse with chronic analgesic requirements and anti-inflammatory. Occlusive before this table, abdominal pelvic CT was performed and highlighted the presence of lung metastases, a large pelvic lymph node casting bridging the inter vesico-rectal space and responsible for extrinsic compression of the small intestine, lymph node inter casting aorto-cellar and latero aortic liver and multiple secondary locations. Faced with this bundle of arguments, clinical and laboratory, metastatic testicular tumor was raised and measured tumor markers. A right orchiectomy by inguinal was made with histology: A non-seminomatous germ cell tumor stage III. After orchiectomy germinal markers were still high and there was the problem of persistent occlusive syndrome despite resuscitation. A chemotherapy regimen was initiated with 4 cycles of chemotherapy according to the protocol BEP (bleomycin, etoposide, cisplatin). A significant regression of occlusive syndrome with a decline in clinical symptoms was noted. The revaluation at 3 months, 6 months and 1 year were highlighted: A normal clinical examination associated with a persistent correction rate of germline markers and lack of active lesion at thoraco-abdominopelvic CT.
Highlights
Testicular cancers are rare [1]
Non-seminoma germ cell tumors are chemo sensitive. This chemo sensitivity has significantly improved the prognosis of the disease through the provision of cisplatin [15]
The prognosis is even better than the diagnosis is made early stage [1]
Summary
Testicular cancers are rare [1]. They are the leading cause of solid tumor of young men in the West. The diagnosis is often made between 20 and 40 years [1]. Non-seminoma germ cell tumors are the most common histological form with an increasing incidence in the northern European countries. This condition is rare in the black subject. Very few studies have been reported in sub-Saharan Africa [2] [3], where the diagnosis metastatic stage making poor prognosis. The observation described here by the authors is a perfect illustration
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