Pure Embryonal Carcinoma Testis With Inguinal Lymph Node Metastasis- Rare Finding

Germ cell tumors of the testis are the most common cancer in young men between the ages of 15 and 35 years. The most common histopathological types are seminoma with incidence of 30 60%; pure embryonal carcinoma 3 4%, although it include 40% of nonseminoma; 5-10% teratoma and 1% pure choriocarcinoma. We present a case of 22 year old male who came to our hospital with complaints of inguinal lymphadenopathy. Surgeons found the enlarged lymph nodes. Fine needle aspiration was done on the lymph node and sent for cytological diagnosis. The cytology report gave a diagnosis of embryonal carcinoma. The criteria for diagnosis includes presence of cellular smears exhibiting primitive pleomorphic disperse cells. Alfa fetoprotein and betahcG was raised. Biopsy confirmed the diagnosis and early treatment was given to the patient.