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タイトル: | AFP 陽性の骨盤内晩期再発を来たしたSeminomaの1例 |
その他のタイトル: | Late Relapse of Testicular Cancer at the Pelvis with Elevated AFP Levels : A Case Report |
著者: | 島田, 誠治 木下, 秀文 吉田, 崇 高安, 健太 三島, 崇生 吉田, 健志 矢西, 正明 乾, 秀和 杉, 素彦 松田, 公志 |
著者名の別形: | Shimada, Seiji Kinoshita, Hidefumi Yoshida, Takashi Takayasu, Kenta Mishima, Takao Yoshida, Kenji Yanishi, Masaaki Inui, Hidekazu Sugi, Motohiko Matsuda, Tadashi |
キーワード: | Desperation surgery Elevated AFP Late relapse Testicular cancer |
発行日: | 31-Mar-2018 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 64 |
号: | 3 |
開始ページ: | 131 |
終了ページ: | 134 |
抄録: | We report a patient with seminoma which recurred as late relapse at the pelvis with elevated alphafetoprotein (AFP) levels. A 40-year-old man presented with a left testicular tumor and subsequently underwent high orchiectomy in 2006. Pathological findings showed that the tumor was a seminoma with invasion into the tunica albuginea (pT2N0M0). Seven years after surgery, computed tomography showed a 12×8.7 mm, well-circumscribed, pelvic cystic tumor, and AFP and human chorionic gonadotropin levels were elevated. He was clinically diagnosed with recurrent testicular cancer. Despite the fact that the patient had four courses of bleomycin, etoposide, and cisplatin (BEP), the tumor enlarged and AFP levels were still elevated. Therefore, we performed open excision of the pelvic tumor. Judging from the pathological report, we made the final diagnosis of mature cystic teratoma. The patient was free of recurrence or metastasis within 48 months of follow-up. |
著作権等: | 許諾条件により本文は2019/04/01に公開 |
DOI: | 10.14989/ActaUrolJap_64_3_131 |
URI: | http://hdl.handle.net/2433/230905 |
PubMed ID: | 29684964 |
出現コレクション: | Vol.64 No.3 |
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