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Unusual association of diseases/symptoms
CASE REPORT
Skin metastasis: a rare presentation in testicular germ cell tumour
  1. Ilavarasi Vanidassane1,
  2. Abhenil Mittal1,
  3. Chandan Kumar2,
  4. Pranay Tanwar2,
  5. Ranjit Kumar Sahoo1,
  6. Atul Batra1
  1. 1Department of Medical Oncology, BRAIRCH, AIIMS, New Delhi, India
  2. 2Laboratory Oncology Unit, BRAIRCH, AIIMS, New Delhi, India
  1. Correspondence to Dr Atul Batra, batraatul85{at}gmail.com

Summary

A 35-year-old man presented with a history of cough, haemoptysis, weight loss for 2 months along with ulceroproliferative lesions on the chin and the scalp. On evaluation he was found to have non-seminomatous germ cell tumour, stage 3 c, poor risk with Eastern Cooperative Oncology Group Performance Status of 4. The skin lesions were proven to be metastasis by fine-needle aspiration cytology. He showed significant improvement with a 3-day protocol of abbreviated etoposide and cisplatin chemotherapy and is planned for 4 cycles of VIP. This case describes an uncommon presentation of germ cell tumour in the form of skin metastasis with excellent response to chemotherapy.

  • oncology
  • chemotherapy
  • urological cancer
  • dermatology

https://doi.org/10.1136/bcr-2018-226385

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    Footnotes

    • Contributors IV, AM, CK, AB, PT and RKS: contributed equally in design, analysis and drafting of the article and approved the final version; they agree to be accountable for the facts stated in the article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.