Stage IV Non-Seminoma Mixed Germ Cell Testicular Tumour in a 15-Year Old Boy – Case Report

Abstract

The authors report the case of a 15-year-old boy that was admitted to the hospital for abdominal pain and weight loss – approximately 10kg, clinical examination revealed a large abdominal tumour that occupied the whole left side of the abdomen and another large left testicular tumour that affirmatively started to grow one year ago. CT scan and tumour markers were obtained prior to the radical inguinal orchiectomy. Given the advanced stage of the disease, the patient started chemotherapy. The patient and family interrupted all medical treatment and follow-up after 4 months, presenting 10 months later in a terminal stage, with an enormous abdominal tumour that caused an inferior vena cava syndrome. Even if testicular cancer has a good survival rate, the delay in diagnosis and lack of compliance to treatment can give it a poor prognosis.