治療に奏効した精巣腫瘍肝転移の1例

Abstract

A 20-year-old man was admitted with multiple lung, liver and retroperitoneal lymph node metastases from right testicular tumor. The serum hCG level was 170, 000 mIu/ml. Orchiectomized right testis showed choriocarcinoma and teratoma pathologically. After 3 courses of chemotherapy of cisplatin, vinblastine and bleomycin, retroperitoneal lymph nodes were resected. Three courses of salvage chemotherapy of VP-16 (etoposide) were performed. The serum hCG level became normal and all metastases disappeared. For 37 months after operation there has been no recurrence of tumor. The 29 cases of testicular tumor with liver metastasis reported in the Japanese literatures during the last 7 years were discussed. The prognosis of testicular tumor with liver metastasis is very poor. However, adequate combination therapy might be effective for the far-advanced testicular tumor.