Evidence map›Paper›PMID 42027732›Full record

ArticleUrology case reports2026

First description of an orthotopically located spontaneously ruptured non-seminomatous, metastatic germ cell tumor and review of literature.

Leonhard Buck, Katharina Vogt, Jakob Kohler, Pernilla Virginia Conrad, Konrad Hügelmann, Julian Risch, Dithild-Angelika Melchior, Severin Rodler, Jonas Jarczyk, Philipp Nuhn

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Urology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Leonhard BuckDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, Kiel, Germany.
Katharina VogtDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, Kiel, Germany.
Jakob KohlerDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, Kiel, Germany.
Pernilla Virginia ConradDepartment of General Surgery, Visceral, Thoracic, Transplant and Paediatric Surgery, University Hospital Schleswig-Holstein Campus Kiel, Kiel, Germany.
Konrad HügelmannDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, Kiel, Germany.
Julian RischDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, Kiel, Germany.
Dithild-Angelika MelchiorDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, Kiel, Germany.
Severin RodlerDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, Kiel, Germany.
Jonas JarczykDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, Kiel, Germany.
Philipp NuhnDepartment of Urology, University Hospital Schleswig-Holstein Campus Kiel, Kiel, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spontaneous rupture of a testicular tumour is extremely rare. We report a 51-year-old man presenting with rapid, painless scrotal swelling without trauma. Imaging showed a ruptured left testicular mass with extensive hematoma, emergency exploration confirmed tumour perforation. Histology revealed a yolk sac-predominant non-seminomatous germ cell tumour. While initial staging was negative, early restaging before adjuvant therapy identified a new pulmonary metastasis. The patient received three cycles of BEP chemotherapy and achieved complete remission. He remains disease-free at two-year follow-up. This case emphasises prompt evaluation and early restaging in atypical acute scrotal presentations.

Indexed as

Acute scrotumInguinal orchiectomyNon-seminomatous germ cell tumourScrotal hematomaTesticular ruptureYolk sac tumour

Identifiers

PMID42027732
PMCPMC13099929

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