Abstract

This clinical image illustrates the alarming growth rate for an embryonal carcinoma, as well as its highly curable nature. For similar cases, early diagnosis and treatment are key.

Highlights

  • No recurrence or metastasis was found by a CT performed 7 months later (Figure 1)

  • Four years after receiving adjuvant chemotherapy comprising TIP ×2, the patient is doing well without evidence of metastatic or recurrent disease. This is the first report of a rapidly enlarging mass in a patient with embryonal carcinoma that recurred over 7 weeks

  • After frontline chemotherapy comprising bleomycin, etoposide, and cisplatin (BEP) ×4, pathologic examination from a RPLND and left orchiectomy showed less than 5% teratoma with extensive necrosis in the residual lymph node

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Summary

Introduction

No recurrence or metastasis was found by a CT performed 7 months later (Figure 1). After complaints of abdominal pain, nausea, vomiting, and early satiety, one month later, a CT scan showed a mass with a thick rim (Figure 2).

Results
Conclusion
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