1984 Volume 75 Issue 10 Pages 1665-1669
Except metastatic lesions, germ cell tumor is rarely found outside genital glands.
A 26-years-old male presented with right lower abdominal dull pain. Physical examination revealed a right lower abdominal tumor and a mass in the left supraclavicular fossa. A needle biopsy of the supraclavicular mass showed embryonal carcinoma with choriocarcinoma. However, there was no malignant finding including burned-out testicular tumor in serial sections of the bilateral testes. Based on pyelography, CT scan and angiography, it was suggested that the germ cell tumor had primarily developed in the retroperitoneal region.
Concept and treatment of the extragonadal germ cell tumor are discussed.