ID 110242
Title Transcription
コキュウ コンナン オ ケイキ ニ ハッケンサレ シュウガクテキ チリョウ ニヨリ カンカイ シタ シンコウ セイソウ ガン ノ 1レイ
Title Alternative
Advanced testicular cancer with the earliest complaint of dyspnea successfully treated by combined modality therapy : a case report
Author
Kishimoto, Tomoteru Department of Urology, Institute of Health Bioscience the University of Tokushima Graduate School
Narota, Takushi Department of Urology, Tokushima Red Cross Hospital
Hosokawa, Tadanobu Department of Urology, Institute of Health Bioscience the University of Tokushima Graduate School
Yura, Kentaro Department of Urology, Institute of Health Bioscience the University of Tokushima Graduate School
Fukawa, Tomoya Department of Urology, Institute of Health Bioscience the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Koizumi, Takahiro Department of Urology, Institute of Health Bioscience the University of Tokushima Graduate School
Kinouchi, Shinichiro Department of Urology, Institute of Health Bioscience the University of Tokushima Graduate School
Yamaguchi, Kunihisa Department of Urology, Institute of Health Bioscience the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Taue, Ryuichi Department of Urology, Institute of Health Bioscience the University of Tokushima Graduate School
Yamamoto, Yasuyo Department of Urology, Institute of Health Bioscience the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Nakatsuji, Hiroyoshi Department of Urology, Institute of Health Bioscience the University of Tokushima Graduate School
Izaki, Hirofumi Department of Urology, Institute of Health Bioscience the University of Tokushima Graduate School KAKEN Search Researchers
Takahashi, Masayuki Department of Urology, Institute of Health Bioscience the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Fukumori, Tomoharu Department of Urology, Institute of Health Bioscience the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Kanayama, Hiro-omi Department of Urology, Institute of Health Bioscience the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
advanced testicular cancer
dyspnea
combined modality therapy
Content Type
Journal Article
Description
A 30-year-old man was referred to our hospital for examination and treatment of dyspnea.Clinical examination revealed multiple lung tumor masses with marked elevation -HCG and -fetoprotein. CT showed not only multiple lung tumors but also retroperitoneal tumor mass. Apercutaneous needle biopsy of lung tumor was performed and pathological findings suggestedchoriocarcinoma. Although testicular swelling was not detected, ultrasonography revealed a righttesticular mass lesion. Therefore we diagnosed multiple lung metastases from right testicularcancer with retroperitoneal lymph node metastasis. The induction chemotherapy with bleomycin,etoposide, cisplatin(BEP) for 3 cycles was performed. Subsequently second line chemotherapywith paclitaxel, ifosfamide, nedaplatin(TIN)for 8 cycles followed. After the tumor markers werenormalized, resection of residual lung metastases by video-assisted thoracic surgery(VATS)andright high orchiectomy were performed. Histologically no viable cells were detected. One cyclechemotherapy with TIN was given after first surgery. Secondly, retroperitoneal lymph nodedissection was performed, and pathologically the small amount of viable cancer was detected in theresected specimen. Then post operative chemotherapy with TIN for 2 cycles were performed.The patient is alive without any recurrence 3 years after combined modality therapy.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
64
Issue
3-4
Start Page
145
End Page
150
Sort Key
145
Published Date
2008-08-25
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences
University Hospital