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[A retroperitoneal mass in a young patient]
M Solano Remírez1, J P Velilla Alcubilla, M T Alvarez Frías
1Servicio de Medicina Interna, Hospital de Navarra, Pamplona, Spain. manoloso@eresmas.com
Abstract:
A tumor of germinal cells should be considered in the differential diagnosis of a retroperitoneal mass in a young patient. Although, this kind of tumors are relatively uncommon, inducing less than 1% of all the tumors in the masculine sex, very often they may present as a retroperitoneal mass clinically characterized by a lumbar pain that sometimes may simulate a renal colic. Occassionally, physical examination of the testis may reveal a mass. Moreover, even in advanced stages the prognosis of germ cell tumor is favorable, and there are a series of tumor markers very helpful for the diagnosis and follow up of the tumor. We report a patient with a retroperitoneal mass presenting clinically as a renal colic.
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