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Title: 集学的治療を行った後腹膜性腺外胚細胞腫瘍の1例
Other Titles: A case report of extragonadal germ cell tumor with retroperitoneal origin
Authors: 加藤, 貴裕  KAKEN_name
堀, 夏樹  KAKEN_name
杉村, 芳樹  KAKEN_name
田島, 和洋  KAKEN_name
栃木, 宏水  KAKEN_name
川村, 寿一  KAKEN_name
Author's alias: Kato, Takahiro
Hori, Natuki
Sugimura, Yoshiki
Tajima, Kazuhiro
Tochigi, Hiromi
Kawamura, Juichi
Keywords: Extragonadal germ cell tumor
Choriocarcinoma
Retroperitoneal tumor
Issue Date: Jul-1990
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 36
Issue: 7
Start page: 807
End page: 811
Abstract: A case of extragonadal germ cell tumor is reported. A 41-year-old man, an elementary school teacher, was referred to our department with left abdominal pain and gynecomastia on September, 1985. Laboratory examinations revealed markedly high levels of LDH, AFP and HCG-beta. IVP and abdominal CT disclosed dislocation of the left kidney and the large left retroperitoneal mass. The mass was supplied by the left lumbal arteries on the aortogram. Chest X-ray film showed multiple coin lesions in the bilateral lung fields. By percutaneous needle biopsy, the histological finding of the tumor showed choriocarcinoma. No abnormal findings were found in either testicle by the physical and ultrasonic examinations. This case was diagnosed as extragonadal choriocarcinoma with lung metastasis. After 3 courses of chemotherapy (PVB regimen), resection of the retroperitoneal residual mass and lymphadenectomy were performed. Postoperatively, the chemotherapy, CISCA II - VB IV regimen, was repeated. The patient was discharged after 7 months hospitalization. Now, 35 months after operation, tumor markers, chest X-ray and abdominal CT showed no evidence of recurrence of the tumor.
URI: http://hdl.handle.net/2433/116948
PubMed ID: 1700589
Appears in Collections:Vol.36 No.7

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