Presented is a case report of retroperitoneal tumor eleven years after
orchiectomy for testicular cancer. Complete remission was achieved wi
th combined chemotherapy and retroperitoneal lymph node dissection. Hi
stologic examination revealed that primary testicular tumor was pure c
horiocarcinoma and that the retroperitoneal tumor was likely embryonal
cell carcinoma without foci of choriocarcinoma. It is difficult to de
termine whether the retroperitoneal tumor is a late recurrence of test
icular cancer or a primary extragonadal germ cell tumor.