Hyouchi N, Yamada T, Takeuchi S, Machida T, Kanou H, Tanizawa A, Fukuda H, Kamata S, Saitoh H
Department of Urology, Saitama Medical Center, Saitama Medical School.
Hinyokika Kiyo. 1997 Mar;43(3):237-40.
A case of giant testicular tumor associated with scrotal gangrene is reported. A 33-year-old man had a swollen scrotum (15 cm) accompanied with necrosis and a foulodor. The tumor had invaded the scrotum, perineum and the left spermatic cord. Serum alpha-fetoprotein level was 15,487 ng/ml. The chest radiograph revealed multiple metastases. Bilateral high orchiectomies and local resection with a wide margin were performed. The tumor weighed 2.5 kg and the histopathological diagnosis was teratocarcinoma. He was treated with 3 courses of chemotherapy with cisplatin, etoposide and peplomycin. A second-look surgery revealed no viable cancer cells in the residual masses. The patient has been free of recurrence 4 months postoperatively.
报告了1例伴有阴囊坏疽的巨大睾丸肿瘤病例。一名33岁男性阴囊肿胀（15厘米），伴有坏死及恶臭。肿瘤已侵犯阴囊、会阴和左侧精索。血清甲胎蛋白水平为15487纳克/毫升。胸部X光片显示有多处转移。进行了双侧高位睾丸切除术及广泛切缘的局部切除术。肿瘤重2.5千克，组织病理学诊断为畸胎癌。他接受了3个疗程的顺铂、依托泊苷和培普利霉素化疗。二次探查手术显示残余肿块中无存活癌细胞。患者术后4个月无复发。
