Çuni Xh, Haxhiu I, Telegrafi Sh, Berisha M, Rexha N, Myftari M, Nuraj P, Mehmeti S, Fetahu A, Dervishi R, Manxhuka S, Kurshumliu F
Clinic of Urology, Faculty of Medicine, University Clinical Centre, Prishtina, Kosovo.
Department of Radiology, NYU - School of Medicine, NY, USA.
Gulf J Oncolog. 2018 May;1(27):78-81.
Testicular cancer represents approximately 1% of all cancers diagnosed in males. Testicular cancer is the most commonly diagnosed cancer in male adolescents and young adults between 15-35 years of age. Bilateral presentation is rare with a reported rate of 0.8% for every 1,000,000 men between the age 15-40 years from which 0.5% are synchronous and .2-3% are metachronous. We report a case of 42-year-old man with metachronous testicular seminoma within 8 years from the first testicular tumor. Patient was treated at the urology clinic with a left testicular mass causing painful swelling. He experienced discomfort in left side of testis before two weeks. He was on anti-inflammatory treatment by his GP doctor with recommendation to visit a urologist. It is the first time in our clinic of urology to treat a patient with metachronous testicle tumor. The follow-up of patients with testicular tumor is very important for early detection of metachronous testicular tumor. In routine, after surgery treatment the strict follow-up of patients continue in Oncologic Institute. In the first 5 years it is biannual, then yearly with tumor markers and images of thorax, abdomen and pelvis. In our case the patient continued the follow-up for two years until he stopped by himself.
睾丸癌约占男性确诊癌症的1%。睾丸癌是15至35岁男性青少年和年轻成年人中最常被诊断出的癌症。双侧发病较为罕见，据报道，在15至40岁的男性中，每100万人的发病率为0.8%，其中0.5%为同步发病，0.2%至3%为异时发病。我们报告一例42岁男性病例，在首次患睾丸肿瘤8年内发生异时性睾丸精原细胞瘤。患者因左侧睾丸肿块伴疼痛肿胀在泌尿外科门诊接受治疗。两周前他感到左侧睾丸不适。他的全科医生给予抗炎治疗，并建议他去看泌尿科医生。这是我们泌尿外科门诊首次治疗异时性睾丸肿瘤患者。对睾丸肿瘤患者进行随访对于早期发现异时性睾丸肿瘤非常重要。通常，手术后患者在肿瘤研究所继续接受严格的随访。在最初的5年里，每半年进行一次随访，之后每年进行一次，检查肿瘤标志物以及胸部、腹部和骨盆的影像。在我们的病例中，患者自行停止随访前持续了两年。
