SOLITARY CEREBRAL METASTASIS FROM TUMOR OF THE TESTIS - SOME OBSERVATIONS ABOUT TREATMENT IN 2 CASES

The authors describe two cases of solitary cerebral metastasis from no n-seminatous germ cell tumors of the testis: in the first case, the hi stology was teratocarcinoma; in the second it was embryonal carcinoma. Both patients underwent surgery, whole-brain radiotherapy and chemoth erapy, and are still alive and disease-free after respectively 42 and 72 months. Although systemic metastasis from tumors of the testis are relatively common, they rarely involve the nervous system. A review of our cases and those reported in the literature shows that the outcome in these patients can be improved by the combined surgical, radiologi cal and chemotherapeutic treatment of the metastasis.