Open AccessSkin metastasis: a rare presentation in testicular germ cell tumour
Author(s) -
Ilavarasi Vanidassane,
Abhenil Mittal,
Chandan KumarSinha,
Pranay Tanwar,
Ranjit Kumar Sahoo,
Atul Batra
Publication year - 2018
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-226385
Subject(s) - medicine , etoposide , chemotherapy , metastasis , presentation (obstetrics) , scalp , cisplatin , germ cell , oncology , chin , pathology , dermatology , surgery , cancer , anatomy , gene , biochemistry , chemistry
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.