DREAD SITE OF RELAPSE IN GERM CELL TUMOR OF TESTIS

Brain metastases from non-seminomatous germ cell tumors (NSGCTs) are rare and can occur as a synchronous or metachronous event in approximately 8-15% of cases. These metastases mainly concern young men in good clinical condition. Hence, aggressive treatment with surgery plus adjuvant radiotherapy and chemotherapymight be advocated especially in large tumors. Prognosis remains poor and there is not much evidence on optimal management of these patients. We report the case of a 24-year-old young male with a history of a treatedyok sac tumor. Who showed monthslater a leptomeningeal metastasis. Then we discuss this patient prognosis supported with a review of case records of the literature.