Case Report
Malignant Spinal Cord Compression Syndrome as an Initial Presentation of Testicular Cancer
Table 1
Summary of the reported cases of MSCCS as an initial presentation of GCT in the English literature.
| Author/year | Country | Age of presentation | Mechanism of spinal cord injury | Spinal level of metastasis causing cord compression | Histology | Treatment of MSCCS, in chronological order | Outcome, follow-up |
| Nelson and Ruffolo 1966 [16] | USA | 63 years | Extradural compression | T9 | Classic seminoma | Laminectomy | Death, 12 days | Arnold et al. 2000 [17] | USA | 41 years | Extradural compression | T7 | Mixed GCT | Laminectomy, unspecified CT | Good, 1 year | Yee et al. 2007 [18] | Canada | 44 years | Extradural compression | T4 | Classic seminoma | Steroids, EBRT 20 Gy/5 Fx, BEP | Good, 1 year | Salazar-Mejía et al. 2018 | Mexico | 24 years | Extradural compression | T11 | Pure embryonal carcinoma | Steroids, EBRT 30 Gy/10 Fx, BEP | Death, 3 weeks |
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CT, chemotherapy; BEP, bleomycin/etoposide/cisplatin; EBRT, external beam radiotherapy.
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