Hibi H, Takashi M, Yamada Y, Yamamoto M, Shimoji T, Miyake K
Department of Urology, Nagoya University School of Medicine, Japan.
Urol Int. 1996;57(4):259-61. doi: 10.1159/000282930.
We report an initial case of intraperitoneal testicular cancer with ascites. Although the cytology of aspirated ascites revealed no tumor cells, the beta-HCG and AFP values were high. Preoperative cisplatin-based combination chemotherapy was used without any pathological diagnosis. Following 2 cycles of chemotherapy, the beta-HCG and AFP values normalized. Furthermore, no ascites was observed on CT scan. Although an accurate histological diagnosis was not established before treatment, it was thought that the ascites originated from the disseminated testicular cancer cells in the peritoneum.
我们报告了一例伴有腹水的腹膜内睾丸癌初始病例。尽管抽取的腹水细胞学检查未发现肿瘤细胞，但β-HCG和AFP值升高。在未进行任何病理诊断的情况下，术前使用了以顺铂为基础的联合化疗。经过2个周期的化疗后，β-HCG和AFP值恢复正常。此外，CT扫描未观察到腹水。尽管在治疗前未确立准确的组织学诊断，但认为腹水源于腹膜内播散的睾丸癌细胞。
