Hodgkin's disease during surveillance of Stage I testicular teratoma

Abstract
It has become an established practice in some specialised centres for patients with Stage I non-seminomatous germ-cell tumours of the testis to be kept under close surveillance following orchidectomy. We report a patient with testicular teratoma treated with orchidectomy alone who, during the period of close observation, developed Hodgkin's disease. The patient, a 20-year-old man, had an inguinal orchidectomy for left testicular enlargement which was histologically a malignant teratoma, undifferentiated. Initial chest radiography, lymphography and computed tomography (CT) of the chest and abdomen were normal. Serum alpha fetoprotein (AFP) and beta human chorionic gonadotrophin (BHCG) were undetectable.

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