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纯睾丸畸胎瘤的胚胎癌转移,酷似复杂肾囊肿。

Embryonal carcinoma metastasis from pure testicular teratoma mimicking a complex renal cyst.

作者信息

Arturo Enrique Martínez Garfias, Joel Juárez Ávila, Luis Eduardo Salgado Sánchez, Arturo Delgado Herrera, Laura Denisse Ramírez González

机构信息

Department of Urlology; Oncology Hospital, Mexican Institute of Social Security, Mexico City, Mexico.

Department of Pathology; Oncology Hospital, Mexican Institute of Social Security, Mexico City, Mexico.

出版信息

Urol Case Rep. 2020 Nov 6;34:101481. doi: 10.1016/j.eucr.2020.101481. eCollection 2021 Jan.

DOI:10.1016/j.eucr.2020.101481
PMID:33204644
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7653278/
Abstract

Teratoma is frequently found in mixed germ cell testicular tumors in up to 80% of cases, but as a pure component it is reported in only 2-6% of cases. Metastatic disease may be seen in 29-76% of these cases in the adult population. We present the case of a 32 year old male patient diagnosed with a pure testicular teratoma in clinical stage I and a right renal cyst Bosniak IIF, as part of treatment he received chemotherapy, during which, radiological changes were observed at the level of renal cyst suggesting metastatic tumor.

摘要

畸胎瘤常见于混合性生殖细胞睾丸肿瘤,高达80%的病例中可见,但作为单纯成分仅在2%-6%的病例中报道。在成年人群中,这些病例的29%-76%可能出现转移性疾病。我们报告一例32岁男性患者,临床分期为I期,诊断为单纯性睾丸畸胎瘤,同时伴有右侧肾囊肿(Bosniak IIF级),作为治疗的一部分,他接受了化疗,在此期间,观察到肾囊肿层面出现放射学改变,提示转移性肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2134/7653278/a6a0562dead7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2134/7653278/5a9d97e982c5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2134/7653278/a6a0562dead7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2134/7653278/5a9d97e982c5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2134/7653278/a6a0562dead7/gr2.jpg

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本文引用的文献

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Synchronous mixed germ cell tumor of testis and renal cell carcinoma: A rare presentation.睾丸同步混合性生殖细胞肿瘤与肾细胞癌:一种罕见的表现。
Int J Surg Case Rep. 2019;60:123-125. doi: 10.1016/j.ijscr.2019.04.024. Epub 2019 Apr 16.
2
Clinicopathologic analysis of choriocarcinoma as a pure or predominant component of germ cell tumor of the testis.精原细胞瘤中绒毛膜癌作为纯或主要成分的临床病理分析。
Am J Surg Pathol. 2014 Jan;38(1):111-8. doi: 10.1097/PAS.0b013e3182a2926e.
3
A solitary seminoma renal metastasis presenting as an incidental renal mass.
孤立性精原细胞瘤肾转移表现为偶发肾肿块。
Urology. 2010 Feb;75(2):245-6. doi: 10.1016/j.urology.2009.05.068. Epub 2009 Aug 5.
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Adult and pediatric testicular teratoma.成人及儿童睾丸畸胎瘤。
Urol Clin North Am. 2007 May;34(2):245-51; abstract x. doi: 10.1016/j.ucl.2007.02.013.
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Metastases from testicular carcinoma. Study of 78 autopsied cases.睾丸癌转移。78例尸检病例研究。
Urology. 1976 Sep;8(3):234-9. doi: 10.1016/0090-4295(76)90374-5.