This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Glass, M. A. Articles by Meacham, R. B. Search for Related Content Social Bookmarking                   What's this?

Typical and Atypical Presentations of Testicular Carcinoma

University of Colorado Health Sciences Center, Division of Urology, Denver, Colorado.

Randall B. Meacham, MD

University of Colorado Health Sciences Center, Division of Urology, C-319, 4200 E. 9th Avenue, Denver, CO 80262.

Testicular carcinoma most commonly presents as a testicular mass. Approxiately 10-15% of patients, however, present with manifestations of metastatic disease. The reported clinical presentations of metastatic testicular carcinoma are varied and include abdominal mass, hemoptysis, adenopathy, respiratory difficulty, anorexia, nausea, vomiting, lumbar back pain, and lower extremity swelling. A comprehensive review of the literature indicated that testicular carcinoma presents as a testicular abnormality 90% of the time. In 10% of cases, however, the patients will present with nontesticular manifestations of metastatic disease. The authors provide a summary of reported nontesticular presentations of testis cancer and describe a unique case wherein the clinical presentation was spontaneous ejaculatory failure.

Key Words: ejaculatory failure • germ cell • metastatic • testicular carcinoma • ultrasound

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?