Habuchi T, Nishimura K, Hida S, Yoshida O
Department of Urology, Faculty of Medicine, Kyoto University, Japan.
Urol Int. 1988;43(4):248-52. doi: 10.1159/000281348.
We describe a patient in whom pulmonary nodules developed without infectious symptoms during treatment with bleomycin, cis-platinum, vinblastine and etoposide combination chemotherapy for metastatic extra-gonadal germ cell tumor. At thoracotomy only fibrosis was found. In this case, false-positive elevation of alpha-fetoprotein and the CT scan appearance made us interpret the pulmonary nodules as new metastatic lesions.
我们描述了一名患者，其在接受博来霉素、顺铂、长春碱和依托泊苷联合化疗治疗转移性性腺外生殖细胞肿瘤期间出现了肺部结节，但无感染症状。开胸手术时仅发现纤维化。在此病例中，甲胎蛋白的假阳性升高以及CT扫描表现使我们将肺部结节解读为新的转移病灶。
