Core Medical Trainee, Beatson West of Scotland Cancer Center, Glasgow, UK.
Clinical Lecturer in Medical Oncology, University of Dundee, Dundee, UK.
Scott Med J. 2019 Nov;64(4):133-137. doi: 10.1177/0036933019856567. Epub 2019 Jun 25.
Gastric metastases are a rare occurrence in patients with malignancy. In case reports of these arising from germ cell tumours, the majority were non-seminomatous germ cell tumours and had evidence of retroperitoneal involvement. We present a unique case of a 67-year-old man with metastatic testicular pure seminoma. He presented with dyspepsia and investigation found isolated metastases to the gastric mucosa and sub-mucosa from a right testicular primary. No lymph node involvement was identified. The patient was managed with curative intent with total gastrectomy and inguinal orchidectomy. To date, there is no evidence of disease recurrence.
胃转移在恶性肿瘤患者中较为罕见。在这些源于生殖细胞肿瘤的病例报告中，大多数为非精原细胞瘤生殖细胞肿瘤，并伴有腹膜后受累的证据。我们报告了一例 67 岁男性的转移性睾丸纯精原细胞瘤。他表现为消化不良，检查发现右睾丸原发性肿瘤孤立转移至胃黏膜和黏膜下层。未发现淋巴结受累。患者接受了根治性全胃切除术和腹股沟睾丸切除术治疗。迄今为止，没有疾病复发的证据。
