| Autor: |
Ozaki, Yumi, Sawada, Yoshitomo, Takeuchi, Yasuharu, Kuroda, Kanami, Sekido, Noritoshi, Nakajima, Koichi, Kuwahara, Takashi, Mitsuda, Aki |
| Jazyk: |
japonština |
| Rok vydání: |
2013 |
| Předmět: |
|
| Zdroj: |
泌尿器科紀要. 59(1):61-64 |
| ISSN: |
0018-1994 |
| Popis: |
The first case was in a 39-year-old man who complained of painless, left hemiscrotal swelling. The patient's serum β human chorionic gonadotropin (β-hCG) was elevated. A chest X-ray and computerized tomography (CT) did not reveal any abnormal findings. The patient underwent left high orchiectomy. The tumor weighed 440 g, and was pathologically diagnosed as a seminoma. The patient chose surveillance as the management strategy. Five months after the operation, the patient stopped attending his periodic checkups. After 21 months, the patient complained of abdominal distention. A CT showed a para-aortic lymph node mass. The patient achieved a complete response following chemotherapy with etoposide and cisplatin for 4 cycles. Three months after the adjuvant chemotherapy, hospital visits stopped again due to financial difficulties. The second case was in a 36-year-old man who complained of painless, right hemiscrotal swelling and difficulty in walking. Clinical examination revealed an adult-head-sized testicular tumor with elevation of serum lactic dehydrogenase (LDH) and β-hCG. A chest X-ray and abdominal CT did not reveal any abnormal findings. Despite a recommendation that the patient undergo immediate orchiectomy, the patient did not undergo surgery due to his unstable lifestyle. After 1 month, the patient presented with more difficulty in walking. The patient underwent right high orchiectomy. The tumor weighed 1, 926 g, and was pathologically diagnosed as a seminoma. The patient chose surveillance. There has been no recurrence for 19 months postoperatively. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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