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[A case report of extragonadal germ cell tumor with retroperitoneal origin].
Hinyokika Kiyo. 1990 Jul; 36(7):807-11.HK

Abstract

A case of extragonadal germ cell tumor is reported. A 41-year-old man, an elementary school teacher, was referred to our department with left abdominal pain and gynecomastia on September, 1985. Laboratory examinations revealed markedly high levels of LDH, AFP and HCG-beta. IVP and abdominal CT disclosed dislocation of the left kidney and the large left retroperitoneal mass. The mass was supplied by the left lumbal arteries on the aortogram. Chest X-ray film showed multiple coin lesions in the bilateral lung fields. By percutaneous needle biopsy, the histological finding of the tumor showed choriocarcinoma. No abnormal findings were found in either testicle by the physical and ultrasonic examinations. This case was diagnosed as extragonadal choriocarcinoma with lung metastasis. After 3 courses of chemotherapy (PVB regimen), resection of the retroperitoneal residual mass and lymphadenectomy were performed. Postoperatively, the chemotherapy, CISCA II - VB IV regimen, was repeated. The patient was discharged after 7 months hospitalization. Now, 35 months after operation, tumor markers, chest X-ray and abdominal CT showed no evidence of recurrence of the tumor.

Authors+Show Affiliations

Department of Urology, Mie University School of Medicine.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

1700589

Citation

Kato, T, et al. "[A Case Report of Extragonadal Germ Cell Tumor With Retroperitoneal Origin]." Hinyokika Kiyo. Acta Urologica Japonica, vol. 36, no. 7, 1990, pp. 807-11.
Kato T, Hori N, Sugimura Y, et al. [A case report of extragonadal germ cell tumor with retroperitoneal origin]. Hinyokika Kiyo. 1990;36(7):807-11.
Kato, T., Hori, N., Sugimura, Y., Tajima, K., Tochigi, H., & Kawamura, J. (1990). [A case report of extragonadal germ cell tumor with retroperitoneal origin]. Hinyokika Kiyo. Acta Urologica Japonica, 36(7), 807-11.
Kato T, et al. [A Case Report of Extragonadal Germ Cell Tumor With Retroperitoneal Origin]. Hinyokika Kiyo. 1990;36(7):807-11. PubMed PMID: 1700589.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case report of extragonadal germ cell tumor with retroperitoneal origin]. AU - Kato,T, AU - Hori,N, AU - Sugimura,Y, AU - Tajima,K, AU - Tochigi,H, AU - Kawamura,J, PY - 1990/7/1/pubmed PY - 1990/7/1/medline PY - 1990/7/1/entrez SP - 807 EP - 11 JF - Hinyokika kiyo. Acta urologica Japonica JO - Hinyokika Kiyo VL - 36 IS - 7 N2 - A case of extragonadal germ cell tumor is reported. A 41-year-old man, an elementary school teacher, was referred to our department with left abdominal pain and gynecomastia on September, 1985. Laboratory examinations revealed markedly high levels of LDH, AFP and HCG-beta. IVP and abdominal CT disclosed dislocation of the left kidney and the large left retroperitoneal mass. The mass was supplied by the left lumbal arteries on the aortogram. Chest X-ray film showed multiple coin lesions in the bilateral lung fields. By percutaneous needle biopsy, the histological finding of the tumor showed choriocarcinoma. No abnormal findings were found in either testicle by the physical and ultrasonic examinations. This case was diagnosed as extragonadal choriocarcinoma with lung metastasis. After 3 courses of chemotherapy (PVB regimen), resection of the retroperitoneal residual mass and lymphadenectomy were performed. Postoperatively, the chemotherapy, CISCA II - VB IV regimen, was repeated. The patient was discharged after 7 months hospitalization. Now, 35 months after operation, tumor markers, chest X-ray and abdominal CT showed no evidence of recurrence of the tumor. SN - 0018-1994 UR - https://www.unboundmedicine.com/medline/citation/1700589/[A_case_report_of_extragonadal_germ_cell_tumor_with_retroperitoneal_origin]_ L2 - https://repository.kulib.kyoto-u.ac.jp/dspace/handle/2433/116948 DB - PRIME DP - Unbound Medicine ER -