Bilateral testicular mixed germ cell tumor in an elderly male with generalized lymphadenopathy masquerading as testicular lymphoma: A diagnostic dilemma

• Author Details:   
• Mahima Goel ^*
• Anshul Singh
• Kachnar Varma
• Marisha Srivastava

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Testicular mixed germ cell tumors (MGCTs) in elderly males are a rare entity with only a handful of cases reported in the literature. Their presentation as a bilateral testicular neoplasm is even rarer, where they can be commonly mistaken as testicular lymphomas that typically present in this age group and with bilaterality. Accurate diagnosis of MGCTs in the elderly is much required because of their highly aggressive nature as compared to those presenting in the younger age group. This case reports a similar instance of metachronous bilateral testicular tumor in a sixty-year-old male who presented with extensive nodal and lung metastasis and was clinically diagnosed as testicular lymphoma initially, but with the help of an extensive diagnostic workup, was finally diagnosed as an MGCT.

Keywords: Germ cell tumors, Yolk sac tumors, Seminoma, Embryonal carcinoma, Choriocarcinoma, Spermatocytic tumor.