[Renal metastasis of classic seminoma].
| Autor: | Castelán-Maldonado EE; Departamento de Anatomía Patológica, Hospital de Especialidades No. 25. Centro Médico Nacional del Noreste. Instituto Mexicano del Seguro Social, Monterrey, México. a.patologica_imss_mty@yahoo.com, Peña-Ruelas CI, Ignacio-Morales CV, Romero-Martínez SA, Sánchez-Arbea PC |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Cirugia y cirujanos [Cir Cir] 2013 Mar-Apr; Vol. 81 (2), pp. 153-7. |
| Abstrakt: | Introduction: Seminoma comprises approximately 50% of testicular germ cell tumors. Renal metastases are infrequent, and are usually recognized at necropsy. Clinical Case: A 24 years-old man with history of left radical orchiectomy due to classical seminoma (stage I), and adjuvant radiotherapy, showed elevated levels of beta-human chorionic gonadotropin and lactate dehydrogenase in the eleven month follow-up. Computed tomography showed a 9 × 8 cm lobulated, heterogeneous tumor in the left kidney. The histopathological and immunohistochemical assay demonstrated a classical metastatic seminoma. Conclusion: The majority of renal tumors represent primary neoplasm; in patients with extra-renal tumors we must consider the possibility of a metastatic disease. |
| Databáze: | MEDLINE |
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