TESTICULAR CANCER WITH DISTANT METASTASES – CASE REPORT

Testicular cancer is a rare disease of younger men, but the incidence of this disease has increased considerably in the recent years in many western countries. Ninety-five percents of these tumours derive from germinative cells, and more than 70% of patients are diagnosed in stage I disease. Causes of testicular cancer are not well understood. The emergence of this disease is mainly linked to the earliest years of life and events in this period as testicular maldescensus, carcinoma in situ, trauma and genetic predisposition. We present a patient, a soldier, 21 years old. At the time of diagnosis of mixed testicular tumour type, the existence of late, stage IV disease was noted. The patient, despite the existence of visible changes in the testicle and reported subjective symptoms, avoided urological examination for months. Delay in diagnosis of testicular tumours leads to the discovery of the disease in advanced stages when the chances for the treatment of this disease and possible curing are significantly reduced. Acta Medica Medianae 2011;50(3):45-48.