Takeuchi Yasuharu, Sawada Yoshitomo, Yabuki Daisuke, Masuda Eisuke, Satou Daisuke, Iwasawa Toshihisa, Kuroda Kanami, Tajima Masaharu, Matsushima Masahiro
Department of Urology, Toho University School of Medicine, Ohashi Hospital.
Hinyokika Kiyo. 2003 Nov;49(11):675-8.
We report a case of malignant lymphoma arising from the testicle in a patient who had been on chemotherapy for a long period after orchiectomy. A 54-year-old male presented with indolent swelling in the right scrotum. Diagnosed as having a testicular tumor by ultrasonography and MRI, he underwent orchiectomy. According to the histopathological diagnosis, the tumor was classified as non-Hodgkin's lymphoma, diffuse large cell type, B cell type. Diagnosis of Stage I eA was made by the Arr Arbor classification. Four courses of cycrophosphamide, adriamycin, vincristin and prednisolone (CHOP) therapy were administered. COP (CHOP minus adriamycin) therapy has been given every four months on an out-patient basis. At present, 28 months after the operation, no evident recurrence has been found.
我们报告一例睾丸恶性淋巴瘤病例，该患者在睾丸切除术后接受了长期化疗。一名54岁男性，右侧阴囊出现无痛性肿胀。经超声和磁共振成像诊断为睾丸肿瘤后，他接受了睾丸切除术。根据组织病理学诊断，肿瘤被分类为非霍奇金淋巴瘤，弥漫大细胞型，B细胞型。根据Ann Arbor分类法诊断为Ⅰ期eA。给予了四个疗程的环磷酰胺、阿霉素、长春新碱和泼尼松（CHOP）治疗。此后每四个月在门诊给予COP（CHOP方案减去阿霉素）治疗。目前，术后28个月，未发现明显复发。
