Viddeleer A C, Lycklama à Nijeholt G A, Beekhuis-Brussee J A
Department of Urology, State University Hospital Leiden, The Netherlands.
J Urol. 1992 Aug;148(2 Pt 1):401-2. doi: 10.1016/s0022-5347(17)36611-9.
An unusual case is presented of a renal transplant recipient on immunosuppressive medication who underwent orchiectomy for a testicular seminoma. Since the surgical resection plane showed seminoma cells, radiotherapy was applied to the para-aortic and inguinal regions. Tumor recurred in the bladder 3 years later as demonstrated by urine cytology and later by bladder biopsies. After chemotherapy, repeated bladder biopsies were normal and a complete remission was achieved. The possible metastatic pathways are discussed.
本文报告了一例肾移植受者的罕见病例，该患者正在接受免疫抑制治疗，因睾丸精原细胞瘤接受了睾丸切除术。由于手术切除层面发现了精原细胞瘤细胞，因此对腹主动脉旁和腹股沟区域进行了放疗。3年后，尿液细胞学检查及随后的膀胱活检证实肿瘤复发于膀胱。化疗后，重复膀胱活检结果正常，实现了完全缓解。文中讨论了可能的转移途径。
