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タイトル: | 異時性両側精巣腫瘍に対し精巣部分切除を施行した1例 |
その他のタイトル: | Organ-sparing Surgery for Contralateral Testicular Tumor Following Orchiectomy : a Case Report |
著者: | 皆川, 真吾 服部, 一紀 遠藤, 文康 黒部, 匡広 藤崎, 章子 岩渕, 敏久 志賀, 淑之 安士, 正裕 村石, 修 |
著者名の別形: | Minagawa, Shingo Hattori, Kazunori Endo, Fumiyasu Kurobe, Masahiro Fujisaki, Akiko Iwabuchi, Toshihisa Shiga, Yoshiyuki Yashi, Masahiro Muraishi, Osamu |
キーワード: | Bilateral testicular tumor Organ sparing surgery Partial resection fertility testosterone |
発行日: | 31-Mar-2011 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 57 |
号: | 3 |
開始ページ: | 147 |
終了ページ: | 149 |
抄録: | A 30-year-old man underwent a left high orchiectomy because of stage I testicular tumor in December, 2006. A palpable nodule was noticed in the contralateral testicle in March, 2008. No tumor marker was elevated. Imaging studies including ultrasonography and magnetic resonance imaging showed a 13 mm tumor consisting of both a solid portion and a hemorrhagic cyst. A malignant tumor could not be ruled out completely based on examinations and his medical history. Tumor resection with partial orchiectomy was planned after informed consent. Preoperative serum concentration of free testosterone was 8.4 pg/ml, and motile sperm were found in the semen analysis. The tumor was resected while the spermatic cord was clamped transiently. The pathological diagnosis of frozen sections confirmed no malignancy, and the final pathological result was mature teratoma, no evidence of malignancy. No androgen substitution has been required. Furthermore, a few normal motile sperm were detected in the ejaculated semen after the surgery. Organ-sparing surgery for the contralateral testicular tumor following orchiectomy, can be considered to avoid infertility and hormonal substitutions. |
著作権等: | 許諾条件により本文は2012-04-01に公開 |
URI: | http://hdl.handle.net/2433/139603 |
PubMed ID: | 21586887 |
出現コレクション: | Vol.57 No.3 |
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