CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2018; 39(02): 250-253
DOI: 10.4103/ijmpo.ijmpo_207_17
Case Report

Mixed Nonseminomatous Germ Cell Tumor with Rhabdomyosarcomatous Malignant Transformation in a Pediatric Patient

Robin L Pham
University of North Texas Health Science Center, Fort Worth, TX, USA
,
Anish Ray
Cook Children's Medical Center, Fort Worth, TX, USA
,
Linda R Margraf
Cook Children's Medical Center, Fort Worth, TX, USA
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Testicular germ cell tumors (GCTs) are the most common malignancy in males aged 15–34. The transformation of GCTs into secondary somatic-type malignancies is rare, and the lack of clear treatment guidelines presents a clinical challenge for treating physicians, especially when chemosensitivities do not overlap. We present the case of a 15-year-old-male with a mixed nonseminomatous malignant GCT with an embryonal rhabdomyosarcoma component, which made up 60% of the primary tumor. He was successfully treated with surgical resection and chemotherapy. We highlight our experience in diagnosing and treating this tumor, and through literature review, suggest treatment guidelines for treating a pediatric patient with similar tumor presentation.



Publication History

Article published online:
23 June 2021

© 2018. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Hayes-Lattin B, Nichols CR. Testicular cancer: A prototypic tumor of young adults. Semin Oncol 2009; 36: 432-8
  • 2 Mikuz G. Germ cell and sex cord-stromal tumors of the testis: WHO classification 2016. Pathologe 2017; 38: 209-20
  • 3 Guo CC, Punar M, Contreras AL, Tu SM, Pisters L, Tamboli P. et al. Testicular germ cell tumors with sarcomatous components: An analysis of 33 cases. Am J Surg Pathol 2009; 33: 1173-8
  • 4 Donadio AC, Motzer RJ, Bajorin DF, Kantoff PW, Sheinfeld J, Houldsworth J. et al. Chemotherapy for teratoma with malignant transformation. J Clin Oncol 2003; 21: 4285-91
  • 5 Ulbright TM, Young RH. Tumors of the Testis and Adjacent Structures, in AFIP Atlas of Tumor Pathology. Ser. 4. Silver Spring, Maryland: American Registry of Pathology Press; 2013.
  • 6 Ulbright TM, Loehrer PJ, Roth LM, Einhorn LH, Williams SD, Clark SA. et al. The development of non-germ cell malignancies within germ cell tumors. A clinicopathologic study of 11 cases. Cancer 1984; 54: 1824-33
  • 7 Stamatiou K, Papadopoulos P, Perlepes G, Galariotis N, Olympitis M, Moschouris H. et al. Mixed germ cell tumor of the testicle with ravdomuosarcomatous component: A case report. Cases J 2009; 9: 9299
  • 8 Lovrić E, Hizak DB, Balja MP, Lenicek T, Kruslin B. An unusual mixed germ cell tumor of the testis consisting of rhabdomyosarcoma, mature teratoma and yolk sac tumor. Asian J Androl 2010; 12: 451-2
  • 9 Nichols CR, Roth B, Albers P, Einhorn LH, Foster R, Daneshmand S. et al. Active surveillance is the preferred approach to clinical stage I testicular cancer. J Clin Oncol 2013; 31: 3490-3
  • 10 Malempati S, Hawkins DS. Rhabdomyosarcoma: Review of the children's oncology group (COG) soft-tissue sarcoma committee experience and rationale for current COG studies. Pediatr Blood Cancer 2012; 59: 5-10
  • 11 Faure ConterC, Fresneau B, Thebaud E, Bertrand A, Dijoud F, Rome A. et al. Two tumors in 1: What should be the therapeutic target? Pediatric germ cell tumor with somatic malignant transformation. J Pediatr Hematol Oncol 2017; 39: 388-94
  • 12 Korfel A, Fischer L, Foss HD, Koch HC, Thiel E. Testicular germ cell tumor with rhabdomyosarcoma successfully treated by disease-adapted chemotherapy including high-dose chemotherapy: Case report and review of the literature. Bone Marrow Transplant 2001; 28: 787-9