Primitive Neuroectodermal Tumor of the Testis

A 21-year male presenting with left testicular mass and retroperitoneal lymphadenopathy underwent radical orchiectomy; and his pathological examination showed a mixed germ cell tumor composed of primitive neuroectodermal tumor mixed with mature teratoma. Six cycles of IE (ifosfamide, etoposide) and VAC (vincristine, doxorubicin, cyclophosphamide) chemotherapy were given after sperm preservation. He then underwent retroperitoneal lymph node dissection (RPLND). No tumor was detected in the removed lymph nodes, and all lymph nodes were reported as showing reactive changes.

Automated summary

The 21-year-old male patient presented with a mixed germ cell tumor composed of primitive neuroectodermal tumor mixed with mature teratoma. After surgery and chemotherapy, no tumor was detected in the removed lymph nodes, which were all reported as showing reactive changes.