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Title: 化学療法が奏効した成人精巣原発Pure yolk sac tumorの1例
Other Titles: A case of adult pure yolk sac tumor of the testis achieving pathological complete response by chemotherapy
Authors: 橋本, 良博  KAKEN_name
岩瀬, 豊  KAKEN_name
最上, 徹  KAKEN_name
林, 祐太郎  KAKEN_name
佐々木, 昌一  KAKEN_name
加藤, 誠  KAKEN_name
津ケ谷, 正行  KAKEN_name
郡, 健二郎  KAKEN_name
Author's alias: Hashimoto, Yoshihiro
Iwase, Yutaka
Mogami, Tohru
Hayashi, Yutaro
Sasaki, Shoichi
Kato, Makoto
Tugaya, Masayuki
Kohri, Kenjiro
Keywords: Chemotherapy
Adult pure yolk sac tumor
Issue Date: Oct-1995
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 41
Issue: 10
Start page: 813
End page: 816
Abstract: We report a case of pure yolk sac tumor of the left testis in a 22-year-old male. He consulted a physician with left back pain and induration of his left scrotal content in December, 1992. Intravenous pyelography (IVP) revealed left hydronephrosis. Computerized tomography (CT) revealed para-aortic lymph node swelling and lung metastases. Left high inguinal orchiectomy was performed. Histopathological diagnosis was pure yolk sac tumor. After two courses of "COMPE" chemotherapy consisting of cisplatin, vincristine, methotrexate, peplomycin and etoposide, two courses of "high dose "COMPE" chemotherapy and three courses of "high dose COME" chemotherapy without peplomycin, he achieved a partial response (the regression rate of the pulmonary metastases and the retroperitoneal lymph node metastasis were 100% and 96.0% on CT, respectively) and the residual masses in the retroperitoneum were removed. Necrosis and xanthogranulomatous fibrosis were found in the resected material. The patient showed no evidence of disease two years after chemotherapy.
PubMed ID: 8533681
Appears in Collections:Vol.41 No.10

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