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部分骶骨切除术治疗孤立性睾丸肿瘤转移

Partial Sacral Resection for the Treatment of Isolated Testicular Tumor Metastasis.

作者信息

Kamoda Hiroto, Tsukanishi Toshinori, Kinoshita Hideyuki, Yonemoto Tsukasa, Ishii Takeshi

机构信息

Orthopedic Surgery, Chiba Cancer Center, Chiba, JPN.

Orthopedic Surgery, Tokyo Medical University Ibaraki Medical Center, Ami, JPN.

出版信息

Cureus. 2023 Feb 4;15(2):e34618. doi: 10.7759/cureus.34618. eCollection 2023 Feb.

DOI:10.7759/cureus.34618
PMID:36891014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9986859/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0720/9986859/618a63c88cb4/cureus-0015-00000034618-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0720/9986859/9403bb52e3b2/cureus-0015-00000034618-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0720/9986859/3b30f43e1d74/cureus-0015-00000034618-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0720/9986859/1a634041b33e/cureus-0015-00000034618-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0720/9986859/618a63c88cb4/cureus-0015-00000034618-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0720/9986859/9403bb52e3b2/cureus-0015-00000034618-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0720/9986859/3b30f43e1d74/cureus-0015-00000034618-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0720/9986859/1a634041b33e/cureus-0015-00000034618-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0720/9986859/618a63c88cb4/cureus-0015-00000034618-i05.jpg

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本文引用的文献

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Current management and management controversies in early- and intermediate-stage of nonseminoma germ cell tumors.非精原细胞瘤性生殖细胞肿瘤早期和中期的当前管理及管理争议
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Bone metastases in germ cell tumor patients.生殖细胞肿瘤患者的骨转移。
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8
[A case of solitary bone metastasis of testicular seminoma 6 years post orchiectomy].[睾丸精原细胞瘤睾丸切除术后6年发生孤立性骨转移1例]
Hinyokika Kiyo. 2011 Sep;57(9):517-20.
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[Three case reports of metastatic germ cell tumors in the lumbar vertebra during first-line chemotherapy].[一线化疗期间腰椎转移性生殖细胞肿瘤三例报告]
Hinyokika Kiyo. 2008 Dec;54(12):803-7.
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[18F]-FDG-PET in clinical stage I/II non-seminomatous germ cell tumours: results of the German multicentre trial.[18F]-氟代脱氧葡萄糖正电子发射断层扫描在临床I/II期非精原细胞瘤性生殖细胞肿瘤中的应用：德国多中心试验结果
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