Borrego Hernándo J, Guinda Sevillano C, Laguna Pes M P, Zazo A, Gimeno A, Cuesta R, Amigo A
Servicio de Urología, Hospital General La Mancha-Centro, Alcázar de San Juan, Ciudad Real.
Actas Urol Esp. 1998 Feb;22(2):170-4.
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.
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。