Abstract

The majority of patients vvith metastatic non-seminomatous germ celi tumors can be cured by cisplatin based combination chemotherapy. Hovvever, patients vvhose condition is cisptatin-refractory or who have recurrence after high dose chemotherapy have vvorse prognosis. We presented here, a 25 years old male patients was diagnosed metastatic embriyonaI testicular carcinoma. The patients received bleomycin, etoposide, cisplatin (BEP) regimen as first line chemotherapy. He experienced early brain relaps and as second line chemotherapy vinblastine, ifosfamide, cisplatin (VeİP) therapy was used. He undervvent high dose chemotherapy vvith peripheric stem celi rescue. For the patient experienced a second recurrence, gemcitabine and pacli-taxel was administered as salvage chemotherapy. He is alive and is free from disease at 30 months.