Unusual presentation of mixed germ cell tumour from testis in a 45-year-old man

Summary

Testicular cancer is a common neoplasm in young and middle-aged men. Although, the most common presentation is a palpable testicular mass, it can present with atypical symptoms. There is a lack of awareness among primary-care physicians about the less common presentations of testicular tumours. Early detection is a key prognostic variable. Fever, weight loss, sweating and pain in the abdomen for 4 months in an adult man has multiple differential diagnoses especially if epigastric mass is present. We are presenting an interesting case of fever, weight loss, pain and mass epigastrium and generalised lymphadenopathy which proved to be a testicular germ cell tumour without any testicular symptoms and with normal tumour markers.