Saito M, Kondo A, Kinjo T
Department of Urology, Nagoya University School of Medicine.
Hinyokika Kiyo. 1989 Nov;35(11):1961-4.
A 28-year-old man visited our hospital with a complaint of left testicular pain and swelling. Left orchiectomy was performed, and its pathological finding was embryonal carcinoma (seminoma in a small portion). Though no sign of metastasis was detected and the serum tumor markers, alpha-fetoprotein, and beta-human chorionic gonadotropin (HCG) decreased in value as expected, he has undergone two courses of chemotherapy (PVB regimen). Twenty months after operation the patient found contralateral testicular induration, and serum beta-HCG was abnormally high, 36.0 ng/ml. We performed right orchiectomy. The pathology revealed pure seminoma. He has been followed up without adjuvant therapy.
一名28岁男性因左侧睾丸疼痛和肿胀前来我院就诊。实施了左侧睾丸切除术，病理检查结果为胚胎癌（小部分为精原细胞瘤）。尽管未检测到转移迹象，且血清肿瘤标志物甲胎蛋白和β-人绒毛膜促性腺激素（HCG）值如预期下降，但他接受了两个疗程的化疗（PVB方案）。术后20个月，患者发现对侧睾丸硬结，血清β-HCG异常升高，达36.0 ng/ml。我们实施了右侧睾丸切除术。病理显示为纯精原细胞瘤。目前对他进行随访，未进行辅助治疗。
