精巣悪性リンパ腫の2例

Abstract

精巣悪性リンパ腫は一般的に予後不良でかつ高齢者が多いが, 全身状態が許す限り, 術後通常の悪性リンパ腫に準じたadjuvant chemotherapyを施行するべきである.症例1:79歳男.右精巣は腫瘍におきかえられており, 割面は均一充実性で黄白色を呈しており, 症例2:73歳男.左精巣腫瘍で腫瘍上体への直接浸潤を認めた.本症例は2例ともび漫性で年齢が60歳以上という点で予後不良因子が存在した.1例目は再発もなく経過良好であるが, adjuvant therapyを施行しなかった2例目は術後3年3ヵ月で死亡した

One patient was a 79-year-old man, who exhibited right scrotal swelling and the other patient was a 73-year-old man, who exhibited left scrotal swelling. Both patients received high orchiectomy under the diagnosis of testicular tumor and the histopathological diagnosis in both patients was non-Hodgkin's lymphoma. Case 1 was diffuse, medium-sized B cell type, and case 2 was diffuse, mixed B cell type. Several examinations revealed no apparent additional involvement. Neither patient received any adjuvant chemotherapy nor postoperative irradiation. In case 1, for a period of 4 years following high orchiectomy, the patient has been doing well. In case 2, 2 years and 6 months postoperatively, para-aortic lymph node swelling occurred, and chemotherapy was initiated with THP-COP but the patient died at 3 years and 3 months after high orchiectomy.