Title:Rare Metastatic Embryonal Carcinoma Resembling Lymphoma: A Case Report
Volume: 20
Author(s): Chunying Li, Xin Ji, Jinwei Luan, Juntong Du, Yang Zhou, Xinxin Wang, Ying Zhang, Sainan Guo, Jiaqi Li and Xianglan Li*
Affiliation:
- Harbin Medical University Cancer Hospital, Harbin 150000, China
- Department of Abdominal Radiotherapy, Harbin Medical University Cancer Hospital, China
Keywords:
Embryonal carcinoma, Testicular neoplasms, Germinoma, Lymphoma, Diagnose, Therapy. Article
Abstract:
Background:
Embryonal carcinoma is a rare tissue type in germ cell tumors. According to our literature review, metastatic embryonal carcinoma misdiagnosed
as lymphoma because of its high similarity to lymphoma is extremely rare and has not been reported yet.
Case Presentation:
A 46-year-old middle adulthood male presented with unexplained fever, night sweats, abdominal distension for 3 months, and weight loss of
around 7kg during almost 6 months, which is extremely similar to lymphoma from the clinical features and imaging examinations. After a clear
diagnosis, the case not only obtained the opportunity of surgery but was also exempted from radiotherapy. The treatment effect was good. We
report a case of rare metastatic embryonal carcinoma, which can provide insight into the diagnosis and treatment of embryonal carcinoma.
Conclusion:
Metastatic embryonal carcinoma of abdominal lymph nodes can be highly similar to lymphoma; the diagnosis can only be based on clinical
manifestations and imaging examination but also combined with patient history, tumor markers and biochemical examination. However, the final
diagnosis depends on pathological biopsy.
