A giant testicular teratoma

We report a giant testicular in a 36-year-old farmer man, of 18-month duration admitted to the Surgical Department Erbil Teaching Hospital, Iraq. The tumor was invading the penis and lower part of abdominal wall including bilateral groin lymph nodes. Histological examination revealed mature and immature teratoma. Further investigations showed no evidence of any metastatic lesions apart from a solitary pulmonary nodule on the right side of the chest which proved by ultra sonic guide fine needle aspiration biopsy. Radical excisions of the tumor including the shaft of the penis, combined with bilateral block dissection of the inguinal nodes and resection of the lower anterior abdominal wall was performed. Six weeks later after a course of chemotherapy and radiotherapy, the patient underwent resection of metastatic lung lesion.