Novianda Andhika H, Prapiska Fauriski Febrian
Department of Urology, Faculty of Medicine, Universitas Indonesia, H. Adam Malik Hospital, Medan, Indonesia.
Open Access Maced J Med Sci. 2019 Jul 13;7(14):2305-2308. doi: 10.3889/oamjms.2019.604. eCollection 2019 Jul 30.
A case of testicular cancer treated with neo adjuvant therapy in a patient in male is rare. When testicular cancer presents, it is usually directly operated due to the size of cancer which presented within the order of operable size.
Here, we report a rare case of a 5-year-old male patient presented to the emergency room (ER) due to mass on the scrotum without the difficulty of urination. From clinical findings, mass with a size of 15 x 10 cm was found with multiple abscesses on both sides of the scrotum. Pathological Anatomy Examination confirmed yolk sac tumour present within the scrotal mass. Initially, palliative chemotherapy took place to reduce the growth rate of the tumour. However, due to the responsiveness of testicular cancer to chemotherapy drugs, it reduced into operable size testicular cancer. Wide excision and Orchidectomy was then performed, followed by adjuvant chemotherapy.
This case report showed the possibility of using neo adjuvant chemotherapy as an alternative treatment when inoperable testicular cancer presented in hospital.
男性患者采用新辅助治疗的睾丸癌病例罕见。睾丸癌出现时，通常因癌肿大小处于可手术范围而直接进行手术。
在此，我们报告一例罕见病例，一名5岁男性患者因阴囊肿物就诊于急诊室，无排尿困难。根据临床检查结果，发现一个大小为15×10厘米的肿物，阴囊两侧有多个脓肿。病理解剖检查证实阴囊肿物内存在卵黄囊瘤。最初进行了姑息化疗以降低肿瘤的生长速度。然而，由于睾丸癌对化疗药物有反应，肿瘤缩小到可手术大小的睾丸癌。随后进行了广泛切除和睾丸切除术，接着进行辅助化疗。
本病例报告表明，当医院出现无法手术的睾丸癌时，使用新辅助化疗作为替代治疗方法是有可能的。
