Kamoda Hiroto, Tsukanishi Toshinori, Kinoshita Hideyuki, Yonemoto Tsukasa, Ishii Takeshi
Orthopedic Surgery, Chiba Cancer Center, Chiba, JPN.
Orthopedic Surgery, Tokyo Medical University Ibaraki Medical Center, Ami, JPN.
Cureus. 2023 Feb 4;15(2):e34618. doi: 10.7759/cureus.34618. eCollection 2023 Feb.
We encountered an uncommon case of a non-seminomatous germ cell tumor with solitary bone metastasis at the initial presentation. A 30-year-old male patient with testicular cancer underwent an orchidectomy and was diagnosed with non-seminoma. Positron emission tomography-computed tomography detected an isolated metastatic lesion in the right sacral wing, which disappeared after a series of chemotherapy. En-bloc surgical resection was performed as curative local treatment, and the patient was able to perform his activities of daily living with no apparent recurrence. Therefore, this surgical method is considered safe and beneficial for the treatment of sacral wing lesions.
我们遇到了一例罕见病例,一名非精原细胞瘤性生殖细胞肿瘤患者在初次就诊时即出现孤立性骨转移。一名30岁的睾丸癌男性患者接受了睾丸切除术,被诊断为非精原细胞瘤。正电子发射断层扫描-计算机断层扫描检测到右骶骨翼有一个孤立的转移病灶,经过一系列化疗后该病灶消失。作为根治性局部治疗进行了整块手术切除,患者能够进行日常生活活动且无明显复发。因此,这种手术方法被认为对骶骨翼病变的治疗是安全且有益的。