Onishi Kenta, Tomioka Atsushi, Maruyama Yoshio, Otani Takeshi, Ishikawa Hidehiro, Fujimoto Kiyohide
The Department of Urology, Matsusaka Chuo General Hospital.
The Department of Neurology, Matsusaka Chuo General Hospital.
Hinyokika Kiyo. 2014 Dec;60(12):651-5.
We report a case of burned-out testicular tumor. A 41-year-old man was referred to our department with swelling of iliac lymph nodes detected by computed tomography screening for cerebellar atrophy. Lymph node biopsy revealed metastasis of seminoma. Ultrasound examination showed an irregular hypoechoic area in his left testis. We diagnosed paraneoplastic neurological syndrome secondary to burned-out testicular tumor. So, we underwent left orchiectomy and chemotherapy. He remains free from disease recurrence 15 months after treatment.
我们报告一例消退型睾丸肿瘤病例。一名41岁男性因计算机断层扫描筛查小脑萎缩时发现髂淋巴结肿大而转诊至我科。淋巴结活检显示精原细胞瘤转移。超声检查显示其左侧睾丸有一个不规则低回声区。我们诊断为继发于消退型睾丸肿瘤的副肿瘤性神经综合征。因此,我们为他进行了左侧睾丸切除术和化疗。治疗后15个月,他未出现疾病复发。