Urethral XXXX from non-seminomatous germ cell tumor: a case report.

@entity1 @entity5 @entity900 @entity2879 @entity10711 @entity880 @entity3 @entity1732 @entity44
INTRODUCTION: We present a case of @entity10711 with acute urinary retention secondary to urethral @entity3 . This presentation, and similar cases of urethral @entity3 from this @entity5 , have not been reported previously. CASE PRESENTATION: A 35-year-old Caucasian @entity1 presented to hospital with a history of acute urinary retention. On examination he was found to have right testicular enlargement with raised b- @entity1 chorionic gonadotrophin, serum a-fetoprotein and @entity880 dehydrogenase levels. He underwent radical left inguinal orchidectomy and histology confirmed a @entity10711 . Cystoscopy carried out due to urinary retention showed penile @entity3 and the biopsy confirmed metastatic malignant undifferentiated @entity44 . Staging computed tomography scan and magnetic resonance imaging of the pelvis showed pulmonary, pelvic nodal, ischial and penile @entity3 . The diagnosis of the International Germ Cell Cancer Collaborative Group of poor prognosis metastatic @entity10711 was made, following which he received four cycles of @entity1732 , @entity2879 and @entity900 chemotherapy with curative intent. He had a complete marker and an excellent radiological response. He is currently under follow up. CONCLUSION: The unusual presentation of lymphovascular spread in this case of @entity10711 highlights the need to include routine pelvic imaging in the assessment and follow up of @entity5 .
