Hayashi Yujiro, Miyago Naoki, Takeda Ken, Yamaguchi Yuichiro, Nakayama Masashi, Arai Yasuyuki, Kakimoto Ken-ichi, Nishimura Kazuo
The Department of Urology, Osaka Medical Center for Cancer and Cardiovascular Diseases.
Hinyokika Kiyo. 2014 May;60(5):237-9.
32-year-old man was seen in a clinic because of prolonged cough and slight-fever. Chest X-ray showed multiple pulmonary nodules, and multiple lung and mediastinal lymph node metastases from right testicular tumor was suspected by positron emission tomography/CT (PET/CT) scan. He was diagnosed with right testicular germ cell tumor (embryonal carcinoma + seminoma, pT2N1M1b), and classified into the intermediate risk group according to International Germ Cell Cancer Collaborative Group. He underwent 4 cycles of chemotherapy with bleomycin, etoposide and cisplatin (BEP therapy). During BEP therapy, sputum with foul odor appeared and chest CT scan revealed lung abscess with a necrotic lesion of metastatic tumor. The lung abscess was treated successfully with antibiotics.
一名32岁男性因长期咳嗽和低热前往诊所就诊。胸部X线显示多个肺结节，正电子发射断层扫描/计算机断层扫描（PET/CT）怀疑右睾丸肿瘤有多处肺和纵隔淋巴结转移。他被诊断为右睾丸生殖细胞肿瘤（胚胎癌+精原细胞瘤，pT2N1M1b），根据国际生殖细胞癌协作组分类为中危组。他接受了4个周期的博来霉素、依托泊苷和顺铂化疗（BEP方案）。在BEP治疗期间，出现了有恶臭的痰液，胸部CT扫描显示肺脓肿伴有转移瘤坏死灶。肺脓肿通过抗生素治疗成功治愈。
