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Kontos S, Doumanis G, Karagianni M, et al. Burned-out testicular tumor with retroperitoneal lymph node metastasis: a case report. J Med Case Rep. 2009;3:8705doi: 10.4076/1752-1947-3-8705.
Kontos, S., Doumanis, G., Karagianni, M., Politis, V., Simaioforidis, V., Kachrilas, S., & Koritsiadis, S. (2009). Burned-out testicular tumor with retroperitoneal lymph node metastasis: a case report. Journal of medical case reports, 38705. https://doi.org/10.4076/1752-1947-3-8705
Kontos, Stylianos, et al. "Burned-out testicular tumor with retroperitoneal lymph node metastasis: a case report." Journal of medical case reports vol. 3 (2009): 8705. doi: https://doi.org/10.4076/1752-1947-3-8705
Kontos S, Doumanis G, Karagianni M, Politis V, Simaioforidis V, Kachrilas S, Koritsiadis S. Burned-out testicular tumor with retroperitoneal lymph node metastasis: a case report. J Med Case Rep. 2009 Jul 31;3:8705. doi: 10.4076/1752-1947-3-8705. PMID: 19830238; PMCID: PMC2737757.
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J Med Case Rep. 2009 Jul 31;3:8705. doi: 10.4076/1752-1947-3-8705.

Burned-out testicular tumor with retroperitoneal lymph node metastasis: a case report.

Journal of medical case reports

Stylianos Kontos, Grigorios Doumanis, Maria Karagianni, Vasilios Politis, Vasileios Simaioforidis, Stefanos Kachrilas, Sotirios Koritsiadis

PMID: 19830238 PMCID: PMC2737757 DOI: 10.4076/1752-1947-3-8705

Abstract

INTRODUCTION: A burned-out seminoma of the testis is an exceptionally rare clinical entity, with few reports found in the literature.

CASE PRESENTATION: A case of burned-out tumor of the testis in a 31-year-old man is reported. The tumor presented as a retroperitoneal mass with histological characteristic of a seminoma. The testes on clinical examination were normal, and a suspicious lesion in the scrotum was only identified after ultrasound. Incision of the abdominal mass was decided, followed by orchectomy. Histological examination of the testis revealed a suspicious lesion with characteristics of spontaneous regression of germ cell tumors.

CONCLUSION: We describe one of very few cases worldwide, where spontaneous regression of a primary testicular tumor occurred after demonstration of retroperitoneal lymph node metastasis, a phenomenon known as burned-out seminoma, which is hard to recognize and incompletely characterized by physicians.

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