Ismaili Nabil, Naciri Sarah, Afqir Said, Mellas Nawfel, Bekkouch Imane, Elmajjaoui Sanaa, Masbah Ouafae, Othmani Nazih, Flechon Aude, Droz Jean Pierre, Errihani Hassan
Department of Medical Oncology at National Institute of Oncology, Rabat, Morocco.
Cases J. 2008 Nov 28;1(1):357. doi: 10.1186/1757-1626-1-357.
Germ cell tumours are uncommon in aged man. We present a rare case of metastatic seminoma of the testis associated with liver and renal insufficiencies in a 78-years-old man managed successfully with carboplatin based chemotherapy.
A 78 years old man admitted with signs and symptoms suggestive of a testicular cancer with alteration of health. Computed tomography of the pelvis and abdomen showed a large retroperitoneal tumour. The diagnosis of seminoma was established from the histological study of the left orchidectomy. At admission, the liver and renal check-up showed liver and renal insufficiencies.
The patient received 4 of carboplatin based chemotherapy with significant improvement in symptoms, and complete radiological response.