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タイトル: | 精巣固定術後に発生した精巣腫瘍の1例 |
その他のタイトル: | Testicular tumor following orchiopexy. A case report |
著者: | 桝井, 眞 水上, 宏俊 結城, 崇夫 小竹, 忠 伊藤, 晴夫 長尾, 孝一 |
著者名の別形: | Masui, Makoto Minakami, Hirotoshi Yuki, Takeo Kotake, Tadashi Ito, Haruo Nagao, Koichi |
キーワード: | Undescended testis Orchiopexy Testicular tumor Inguinal metastasis |
発行日: | Jun-1993 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 39 |
号: | 6 |
開始ページ: | 581 |
終了ページ: | 585 |
抄録: | A case of testicular tumor occurring after orchiopexy is presented. The patient, a 21-year-old male, who had undergone bilateral orchiopexy 14 years before was admitted to our clinic on February 17 in 1992 because of left testicular tumor. Computed tomography showed left inguinal and paraaortic lymphnode metastases. Left high orchiectomy was performed. The tumor was histologically diagnosed to be mixed tumors of embryonal carcinoma, yolk sac tumor and choriocarcinoma. After two courses of chemotherapy consisting of cisplatin, etoposide and bleomycin (PEB regimen), LDH and tumor markers (HCG, HCG-beta) returned to the normal range. The size of retroperitoneal metastasis was significantly reduced and inguinal metastasis disappeared. Therefore retroperitoneal and left inguinal lymphadenectomy were performed. Pathological examination of the resected retroperitoneal and left inguinal lymphnodes revealed embryonal carcinoma and no residual tumor cells, respectively. Additionally, two courses of chemotherapy were performed after surgery. His postoperative course was uneventful and ten months of follow-up showed no evidence of recurrence. |
URI: | http://hdl.handle.net/2433/117855 |
PubMed ID: | 8101690 |
出現コレクション: | Vol.39 No.6 |
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