Borrell Palanca A, García Garzón J, Villamón Fort R, Domenech Pérez C, Martínez Lorente A, Gunthner S, García Sisamón F
Servicio de Urología, Hospital Clínico Universitario, Valencia.
Actas Urol Esp. 1999 Mar;23(3):266-9.
We report a case of retroperitoneal extragonadal germ-cell tumor in an 17 years old patient who presented with aedema and pain in left inferior extremity asociated with hemopthysis caused by pulmonar metastasis, who was treated with chemotherapy and resection of residual mass and pulmonary nodes. Dyagnosis was stableshed by fine neadle aspiration biopsy of the wass. We comment on the difficult of stableshing differential dyagnosis between retroperitoneal extragonadal germ-cell tumor and metastasis of a testicular tumor. Dyagnosis is stableshed by the finding of a histologically malignant germ-cell tumor with normal testis. We considered physical examination and ecographyc exploration enough for a correct dyagnosis.
我们报告一例17岁患者的腹膜后性腺外生殖细胞肿瘤，该患者因肺转移出现左下肢水肿和疼痛，并伴有咯血，接受了化疗以及残余肿块和肺结节切除术。通过对肿块进行细针穿刺活检确定了诊断。我们讨论了区分腹膜后性腺外生殖细胞肿瘤和睾丸肿瘤转移的诊断困难。通过发现组织学上为恶性的生殖细胞肿瘤且睾丸正常来确定诊断。我们认为体格检查和超声检查足以做出正确诊断。
