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[腹膜后生殖细胞瘤:性腺外肿瘤还是睾丸原发性肿瘤的消退现象? 1例临床病例报告]

[Retroperitoneal germinal tumor: extragonadal or burned out phenomenon of testicular primary? Presentation of a clinical case].

作者信息

Borrego Hernándo J, Guinda Sevillano C, Laguna Pes M P, Zazo A, Gimeno A, Cuesta R, Amigo A

机构信息

Servicio de Urología, Hospital General La Mancha-Centro, Alcázar de San Juan, Ciudad Real.

出版信息

Actas Urol Esp. 1998 Feb;22(2):170-4.

PMID:9586278
Abstract

Clinical record case of a retroperitoneal seminoma with "burned-out" phenomenon in the testicular primary, in a 38 year old male with no background of interest who consults for a picture of left nephritic colic. The ipsilateral testis study detects a fibrotic area with hyalinosis and hemosiderin deposits, although there are no tumoral debris, compatible with the "burned-out" phenomenon. Management is through surgery plus a chemotherapy protocol. Discussion of the diagnostic algorithm of retroperitoneal tumours and the literature on extragonadal germinal tumours.

摘要

一名38岁男性的临床记录病例,该患者无相关病史,因左侧肾绞痛前来就诊,其睾丸原发性腹膜后精原细胞瘤出现“消退”现象。同侧睾丸检查发现一个伴有玻璃样变性和含铁血黄素沉积的纤维化区域,尽管没有肿瘤碎片,符合“消退”现象。治疗方法为手术加化疗方案。讨论腹膜后肿瘤的诊断算法以及关于性腺外生殖细胞肿瘤的文献。

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