Abstract
The records of 636 patients who were treated for carcinoma of the testis were reviewed. Of these patients, 61 (9.6 percent) presented with extratesticular complaints. In order of decreasing frequency, the complaints were pain (abdominal, back or groin), gynecomastia or mastodynia, pulmonary complaints, enlarged lymph nodes or a nontesticular mass, swelling of the lower extremity or neurologic changes. A substantial number of these patients were initially misdiagnosed and underwent a surgical procedure. Of importance, most of these patients had either abnormal testicular examination results, elevated markers or a history of cryptorchidism. The data suggest that patients with germ cell tumors, even when presenting with cryptic complaints, can readily be diagnosed if a high level of suspicion is maintained, a careful testicular examination is performed and tumor markers obtained. This frequently makes a diagnostic abdominal exploration or other surgical interventions unnecessary.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 261-265 |
| Number of pages | 5 |
| Journal | Journal of the American College of Surgeons |
| Volume | 178 |
| Issue number | 3 |
| State | Published - 1994 |
Fingerprint
ASJC Scopus subject areas
- Surgery
Cite this
Cryptic presentations of germ cell tumors. / Cespedes, R. D.; Caballero, R. L.; Peretsman, S. J.; Thompson, I. M.
In: Journal of the American College of Surgeons, Vol. 178, No. 3, 1994, p. 261-265.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Cryptic presentations of germ cell tumors
AU - Cespedes, R. D.
AU - Caballero, R. L.
AU - Peretsman, S. J.
AU - Thompson, I. M.
PY - 1994
Y1 - 1994
N2 - The records of 636 patients who were treated for carcinoma of the testis were reviewed. Of these patients, 61 (9.6 percent) presented with extratesticular complaints. In order of decreasing frequency, the complaints were pain (abdominal, back or groin), gynecomastia or mastodynia, pulmonary complaints, enlarged lymph nodes or a nontesticular mass, swelling of the lower extremity or neurologic changes. A substantial number of these patients were initially misdiagnosed and underwent a surgical procedure. Of importance, most of these patients had either abnormal testicular examination results, elevated markers or a history of cryptorchidism. The data suggest that patients with germ cell tumors, even when presenting with cryptic complaints, can readily be diagnosed if a high level of suspicion is maintained, a careful testicular examination is performed and tumor markers obtained. This frequently makes a diagnostic abdominal exploration or other surgical interventions unnecessary.
AB - The records of 636 patients who were treated for carcinoma of the testis were reviewed. Of these patients, 61 (9.6 percent) presented with extratesticular complaints. In order of decreasing frequency, the complaints were pain (abdominal, back or groin), gynecomastia or mastodynia, pulmonary complaints, enlarged lymph nodes or a nontesticular mass, swelling of the lower extremity or neurologic changes. A substantial number of these patients were initially misdiagnosed and underwent a surgical procedure. Of importance, most of these patients had either abnormal testicular examination results, elevated markers or a history of cryptorchidism. The data suggest that patients with germ cell tumors, even when presenting with cryptic complaints, can readily be diagnosed if a high level of suspicion is maintained, a careful testicular examination is performed and tumor markers obtained. This frequently makes a diagnostic abdominal exploration or other surgical interventions unnecessary.
UR - http://www.scopus.com/inward/record.url?scp=0028296762&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0028296762&partnerID=8YFLogxK
M3 - Article
VL - 178
SP - 261
EP - 265
JO - Journal of the American College of Surgeons
JF - Journal of the American College of Surgeons
SN - 1072-7515
IS - 3
ER -