Nagahara N, Kitamura H, Kanisawa M, Ikeda A, Shirai K, Matsushita K
Department of Pathology, School of Medicine, Yokohama City University, Japan.
Acta Pathol Jpn. 1991 Sep;41(9):707-11. doi: 10.1111/j.1440-1827.1991.tb02797.x.
A case of testicular mixed germ cell tumor with teratoma in a 36-year-old Japanese male is reported. Histologically, it was strongly suggested that the rhabdomyosarcoma had originated from the mesenchymal element of the teratoma. A review of the literature revealed six definitive and two possible previous cases of testicular rhabdomyosarcoma with teratoma, either with or without other germ cell malignancies. However, the present case associated with seminoma as a germ cell tumor is the first of its kind to be reported. In contrast to the poor prognosis observed in the previous cases, the present patient remains free of disease 3 years and 3 months after orchiectomy, chemotherapy and irradiation.