睾丸癌仅转移至脑和脾。
Testicular cancer metastatic exclusively to the brain and spleen.
作者信息
Nguyen Mike M, Corr Alan S, Evans Christopher P
机构信息
Department of Urology, University of California, Davis, School of Medicine, Sacramento, California 95817, USA.
出版信息
Urology. 2004 Jan;63(1):176-8. doi: 10.1016/j.urology.2003.08.021.
We report an unusual case of testicular cancer metastasized solely in the brain and spleen without retroperitoneal disease or other widespread metastasis. The patient initially presented with seizures and underwent craniotomy for presumed primary brain tumor, with a delayed diagnosis of testicular cancer as the true primary. This pattern of spread is highly unusual, and, to our knowledge, we report the first case of splenectomy performed for involvement by testicular cancer. At last follow-up, the patient was doing well, with no evidence of disease after 2 years.
我们报告了一例罕见的睾丸癌病例，其仅转移至脑和脾，无腹膜后疾病或其他广泛转移。患者最初因癫痫发作就诊，因疑似原发性脑肿瘤接受了开颅手术，最终延迟诊断出睾丸癌才是真正的原发肿瘤。这种转移模式非常罕见，据我们所知，我们报告了首例因睾丸癌累及而行脾切除术的病例。在最后一次随访时，患者情况良好，2年后无疾病迹象。
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