Primary Liver Tumor? Not Everything Is What It Seems.
Germ cell tumors of gonadal or extragonadal origin are curable solid tumors, due to their good sensitivity to chemotherapy. The vast majority of cases present as a result of testicular symptoms and in a minority, as metastatic dissemination. We present a case of a “burned-out” tumor, in which the p...
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| Format: | Article |
| Language: | English |
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Sociedade Galega de Medicina Interna
2025-07-01
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| Series: | Galicia Clínica |
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| Online Access: | https://galiciaclinica.info/gc/article/view/1318 |
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| _version_ | 1849316778844356608 |
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| author | Luís Miguel Relvas Sónia Barros Isabel Carvalho Francisco Velasco |
| author_facet | Luís Miguel Relvas Sónia Barros Isabel Carvalho Francisco Velasco |
| author_sort | Luís Miguel Relvas |
| collection | DOAJ |
| description |
Germ cell tumors of gonadal or extragonadal origin are curable solid tumors, due to their good sensitivity to chemotherapy. The vast majority of cases present as a result of testicular symptoms and in a minority, as metastatic dissemination. We present a case of a “burned-out” tumor, in which the presentation was mainly caused by metastases, and clinical confounders led to the suspicion of hepatocellular carcinoma, delaying the correct diagnosis. We emphasize the importance of considering germ cell tumors, especially in young men with liver and lung metastases as a differential diagnosis. Knowing that it is a tumor that tends to grow rapidly, but is curable in most cases, delay in diagnosis can make it difficult to treat a patient in inadequate conditions.
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| format | Article |
| id | doaj-art-321ecd1b98ad41059b2b3ea46f58b19c |
| institution | Kabale University |
| issn | 0304-4866 1989-3922 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Sociedade Galega de Medicina Interna |
| record_format | Article |
| series | Galicia Clínica |
| spelling | doaj-art-321ecd1b98ad41059b2b3ea46f58b19c2025-08-20T03:51:29ZengSociedade Galega de Medicina InternaGalicia Clínica0304-48661989-39222025-07-0186210.22546/86/2/1318Primary Liver Tumor? Not Everything Is What It Seems.Luís Miguel Relvas0https://orcid.org/0000-0002-0231-5837Sónia Barroshttps://orcid.org/0009-0003-1688-3354Isabel Carvalhohttps://orcid.org/0000-0001-5823-1520Francisco Velascohttps://orcid.org/0000-0001-5872-6945Unidade Local de Saúde do Algarve Germ cell tumors of gonadal or extragonadal origin are curable solid tumors, due to their good sensitivity to chemotherapy. The vast majority of cases present as a result of testicular symptoms and in a minority, as metastatic dissemination. We present a case of a “burned-out” tumor, in which the presentation was mainly caused by metastases, and clinical confounders led to the suspicion of hepatocellular carcinoma, delaying the correct diagnosis. We emphasize the importance of considering germ cell tumors, especially in young men with liver and lung metastases as a differential diagnosis. Knowing that it is a tumor that tends to grow rapidly, but is curable in most cases, delay in diagnosis can make it difficult to treat a patient in inadequate conditions. https://galiciaclinica.info/gc/article/view/1318Germ cell tumorsHepatocellular CarcinomaHepatitis B virus |
| spellingShingle | Luís Miguel Relvas Sónia Barros Isabel Carvalho Francisco Velasco Primary Liver Tumor? Not Everything Is What It Seems. Galicia Clínica Germ cell tumors Hepatocellular Carcinoma Hepatitis B virus |
| title | Primary Liver Tumor? Not Everything Is What It Seems. |
| title_full | Primary Liver Tumor? Not Everything Is What It Seems. |
| title_fullStr | Primary Liver Tumor? Not Everything Is What It Seems. |
| title_full_unstemmed | Primary Liver Tumor? Not Everything Is What It Seems. |
| title_short | Primary Liver Tumor? Not Everything Is What It Seems. |
| title_sort | primary liver tumor not everything is what it seems |
| topic | Germ cell tumors Hepatocellular Carcinoma Hepatitis B virus |
| url | https://galiciaclinica.info/gc/article/view/1318 |
| work_keys_str_mv | AT luismiguelrelvas primarylivertumornoteverythingiswhatitseems AT soniabarros primarylivertumornoteverythingiswhatitseems AT isabelcarvalho primarylivertumornoteverythingiswhatitseems AT franciscovelasco primarylivertumornoteverythingiswhatitseems |