Hematogenous metastasis of nonseminomatous germ cell testicular cancer

A case is reported of a twenty-five-year-old man in whom paraplegia developed due to spinal metastasis from a nonseminomatous germ cell tumor immediately after retroperitoneal node dissection in which all nodes were found to be negative. This case emphasizes deficiencies in knowledge concerning the routes of metastasis of testicular tumor and points out that retroperitoneal lymphadenectomy is not an infallible staging procedure in patients with this disease.