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タイトル: | 加齢男性性腺機能低下症候群の精査にて診断された脳腫瘍(germinoma)の1例 |
その他のタイトル: | Brain Tumor (Germinoma) Diagnosed after Assessment for Male Late-Onset Hypogonadism Syndrome : A Case Report |
著者: | 天野, 俊康 ![]() 関, 雅也 ![]() 今尾, 哲也 ![]() 竹前, 克朗 ![]() 倉島, 昭彦 ![]() |
著者名の別形: | Amano, Toshiyasu Seki, Masaya Imao, Tetsuya Takemae, Katsuro Kurashima, Akihiko |
キーワード: | Late-onset hypogonadism:Brain tumor Gernimoma Male hypogonadotropic hypogonadism |
発行日: | Aug-2011 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 57 |
号: | 8 |
開始ページ: | 459 |
終了ページ: | 462 |
抄録: | A 44-year-old man suffered from sleep disturbance, headache, lack of energy and appetite loss. His local doctor recommended he consult our clinic for further examination of late-onset hypogonadism. His aging males’ symptoms (AMS) and international index of erectile function (IIEF-5) scores were 62 and 1, respectively. His biochemistry revealed 0.29 mIU/ml luteinizing hormone (LH), 1.36 mIU/ml follicular stimulating hormone (FSH), 0.16 ng/ml total testosterone (TT) and <0.6 pg/ml free testosterone (FT). Male hypogonadotropic hypogonadism was suspected from these results, He was then referred to a neurosurgeon for discrimination of intracranial disease where magnetic resonance imaging (MRI) revealed multiple intracranial tumors. An open brain biopsy was performed, and germinoma was diagnosed. After 4 courses of anti-cancer chemotherapy, complete remission was achieved. He was followed up endocrinologically by administration of testosterone injections along with other endocrinology replacement treatments. However, MRI 3 months later revealed tumor recurrence in the left lateral ventricle, and he has been receiving radiation therapy. |
著作権等: | 許諾条件により本文は2012-09-01に公開 |
URI: | http://hdl.handle.net/2433/145940 |
PubMed ID: | 21894085 |
出現コレクション: | Vol.57 No.8 |
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