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Title: 精巣原発粘液癌の1例
Other Titles: A Case of Primary Testicular Mucinous Carcinoma
Authors: 多賀, 英人  KAKEN_name
細川, 洋平  KAKEN_name
真鍋, 俊明  KAKEN_name
萩原, 暢久  KAKEN_name
山田, 剛司  KAKEN_name
岩田, 健  KAKEN_name
宮下, 浩明  KAKEN_name
Author's alias: Taga, Hideto
Hosokawa, Yohei
Manabe, Toshiaki
Hagiwara, Nobuhisa
Yamada, Takeshi
Iwata, Tsuyoshi
Miyashita, Hiroaki
Keywords: Testicular mucinous carcinoma
Issue Date: 31-Mar-2019
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要 = Acta urologica Japonica
Volume: 65
Issue: 3
Start page: 87
End page: 91
Abstract: A 68-year-old man presented withleft testicular painless swelling. His carbohydrate antigen 19-9 and carcinoembryonic antigen levels were elevated but his germ cell tumor markers were not high. Magnetic resonance imaging showed multiloculated cystic lesions with solid components in his left testis. Abdominal and chest computed tomography revealed multiple lung metastases, peritoneal dissemination and multiple lymph node metastases. Left high orchiectomy was performed. Histopathological examination demonstrated testicular mucinous carcinoma withsimilarity to gastric cancer. Since no tumor was found by the endoscopy of the upper gastrointestinal and the lower digestive tract, we diagnosed the patient with primary testicular mucinous carcinoma. Standard chemotherapy for gastric cancer, which consisted of tegafur, gimeracil and oteracil (TS-1) and cisplatin was administered for 16 months, and there was no progression of the disease. He died from testicular mucinous cancer 30 months after the diagnosis. In the literature, only 4 cases of testicular mucinous carcinoma have been reported. TS-1 and cisplatin are useful chemotherapeutic options for testicular mucinous carcinoma withmetastasis.
Rights: 許諾条件により本文は2020/04/01に公開
DOI: 10.14989/ActaUrolJap_65_3_87
PubMed ID: 31067849
Appears in Collections:Vol.65 No.3

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