睾丸切除术后巨大纵隔精原细胞瘤——晚期复发伴跳跃转移还是新发原发性肿瘤？

Massive mediastinal seminoma post-orchidectomy--late relapse with skip-metastases or new primary?

作者信息

Brown R S, Hayne D, Burcombe R J, Harbin L J, Coulter C A

机构信息

Institute of Urology, London, UK.

出版信息

Scand J Urol Nephrol. 2001 Oct;35(5):422-4. doi: 10.1080/003655901753224521.

DOI:10.1080/003655901753224521

PMID:11771873

Abstract

A case of a massive, biopsy-proven, advanced seminoma in the mediastinum 12 years after orchidectomy for a malignant right-sided testicular tumour of unknown histology is presented. The highly unusual nature of this presentation is discussed and may represent either late relapse from skip-metastases or metachronous gonadal and extragonadal tumour development. Immunohistochemical staining was unable to distinguish the site of origin of the lesion.

摘要

本文报告一例病例，患者因右侧组织学类型不明的恶性睾丸肿瘤行睾丸切除术后12年，纵隔出现经活检证实的巨大晚期精原细胞瘤。讨论了这种表现的高度不寻常性质，其可能代表跳跃转移的晚期复发或异时性性腺和性腺外肿瘤发生。免疫组化染色无法区分病变的起源部位。