Cuervo Pinna C, Rodríguez Rincón J P, Abengozar García-Moreno A, Cabello Padial J, Murillo Mirat J, Sevilla Zabaleta M, Fernández de Alarcón L
Servicio de Urología, Hospital Regional Infanta Cristina, Badajoz, España.
Arch Esp Urol. 1998 Jun;51(5):477-9.
To report an uncommon case of bilateral synchronous mixed testicular germ cell tumor.
A young male had consulted at our urological services for a unilateral enlarged testis. A testicular tumor was suspected; scrotal US was performed, testicular tumor markers were determined and complementary studies to determine tumor extension were performed.
The US findings suggested a chronic inflammatory condition with bilateral diffuse infiltration, tuberculosis was discarded and bilateral testicular tumor was suspected, which was confirmed by bilateral intraoperative biopsy. A bilateral radical orchidectomy was performed. Adjuvant chemotherapy with cisplatin, VP-16 and bleomycin was administered after bilateral radical orchidectomy due to the attending risk factors for tumor recurrence. The patient is disease-free one year postoperatively.
Bilateral synchronous testicular germ cell tumors are rare. Scrotal US is a simple, noninvasive and efficient diagnostic imaging method; however, it does not provide pathognomonic images that could indicate the histological nature of the tumor.
报告一例罕见的双侧同步性混合性睾丸生殖细胞肿瘤病例。
一名年轻男性因单侧睾丸肿大前来我院泌尿外科就诊。怀疑患有睾丸肿瘤；进行了阴囊超声检查，测定了睾丸肿瘤标志物，并进行了其他补充检查以确定肿瘤的扩散情况。
超声检查结果提示为双侧弥漫性浸润的慢性炎症状态，排除了结核病，怀疑为双侧睾丸肿瘤，术中双侧活检证实了这一诊断。实施了双侧根治性睾丸切除术。由于存在肿瘤复发的相关危险因素，双侧根治性睾丸切除术后给予顺铂、依托泊苷和博来霉素辅助化疗。患者术后一年无疾病复发。
双侧同步性睾丸生殖细胞肿瘤较为罕见。阴囊超声是一种简单、无创且有效的诊断成像方法；然而，它无法提供能够表明肿瘤组织学性质的特征性图像。
