Letsch Markus, Spahn Martin, Beissert Matthias, Topp Max S, Gerharz Elmar W, Riedmiller Hubertus
Department of Urology and Pediatric Urology, Julius Maximilians University Medical School, Oberdürrbacher Strasse 6, DE-97080 Würzburg, Germany.
Urol Int. 2010;84(1):113-5. doi: 10.1159/000273478. Epub 2010 Feb 17.
Ten years after his brother had been treated for seminoma, a 36-year-old male presented with a giant exulcerating mass involving the right testis and both inguinal regions. Subsequent biopsy revealed pure seminoma. Staging computed tomography (CT) showed bulky retroperitoneal and pelvic lymph node metastases. After seven courses of cisplatin-based chemotherapy, positron emission tomography suggested residual tumor in the right groin. The suspicious lesion and the right testis were resected showing no vital tumor tissue. Eight months after surgery there were no signs of disease progression at follow-up CT.
在他的哥哥接受精原细胞瘤治疗十年后，一名36岁男性出现了一个巨大的溃疡性肿块，累及右侧睾丸和双侧腹股沟区。随后的活检显示为纯精原细胞瘤。分期计算机断层扫描（CT）显示有巨大的腹膜后和盆腔淋巴结转移。在进行了七个疗程的以顺铂为基础的化疗后，正电子发射断层扫描显示右侧腹股沟有残留肿瘤。切除可疑病变和右侧睾丸后，未发现存活的肿瘤组织。术后八个月，随访CT显示没有疾病进展的迹象。
