Testicular cancer is rare. The authors report the case of a young Senegalese 21, who\nhas consulted for an occlusive syndrome evolving for 48 hours that prompted his\nhospitalization. Note that the patient has consulted several times to persistent inguinal\nscrotal pain, a big right purse with chronic analgesic requirements and anti-\ninflammatory. Occlusive before this table, abdominal pelvic CT was performed\nand highlighted the presence of lung metastases, a large pelvic lymph node casting\nbridging the inter vesico-rectal space and responsible for extrinsic compression of\nthe small intestine, lymph node inter casting aorto-cellar and latero aortic liver and\nmultiple secondary locations. Faced with this bundle of arguments, clinical and laboratory,\nmetastatic testicular tumor was raised and measured tumor markers. A\nright orchiectomy by inguinal was made with histology: A non-seminomatous germ\ncell tumor stage III. After orchiectomy germinal markers were still high and there\nwas the problem of persistent occlusive syndrome despite resuscitation. A chemotherapy\nregimen was initiated with 4 cycles of chemotherapy according to the protocol\nBEP (bleomycin, etoposide, cisplatin). A significant regression of occlusive syndrome\nwith a decline in clinical symptoms was noted. The revaluation at 3 months, 6\nmonths and 1 year were highlighted: A normal clinical examination associated with a\npersistent correction rate of germline markers and lack of active lesion at thoraco-\nabdominopelvic CT.
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