Case of metastatic germ cell tumor with testicular calcification detected by MD-CT

Kei Mikita, Hideo Kobayashi, Hisayuki Osoreda, Soichiro Kanoh, Kazuo Motoyoshi

Research output: Contribution to journalArticle

Abstract

Metastasis of testicular germ cell tumor should be included in the differential diagnosis when young male patient have multiple pulmonary metastases. However burned-out tumors cannot be easily detected on inspection and palpation of the testis. A 19 year-old man visited to our hospital complaining of anorexia, weight loss and dyspnea. Chest X-ray films showed multiple lung nodules. Physical examination revealed gynecomastia, and many cervical, axillary, and inguinal lymph nodes with a diameter of 1 cm were palpable. Physical examination of testis revealed no laterality. Multi-detector CT showed multiple lung nodules, a hepatic and a retroperitoneal large mass and a tiny calcification in the right testis. Histological findings of the lung obtained by percutaneous biopsy and the presence of a calcification in the testis led to a diagnosis of testicular choriocarcinoma showing burned-out tumor. However there was no previous report of burned-out tumor detected by CT, MD-CT including that of the testis was valuable at the first diagnostic stage when germ cell tumor was suspected.

Original languageEnglish
Pages (from-to)722-725
Number of pages4
JournalNihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society
Volume46
Issue number9
Publication statusPublished - 2008 Sep
Externally publishedYes

Fingerprint

Testis
Lung
Physical Examination
Neoplasm Metastasis
Gynecomastia
Neoplasms
Choriocarcinoma
X-Ray Film
Groin
Palpation
Germ Cell and Embryonal Neoplasms
Anorexia
Dyspnea
Weight Loss
Differential Diagnosis
Thorax
Lymph Nodes
Testicular Germ Cell Tumor
Biopsy
Liver

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Case of metastatic germ cell tumor with testicular calcification detected by MD-CT. / Mikita, Kei; Kobayashi, Hideo; Osoreda, Hisayuki; Kanoh, Soichiro; Motoyoshi, Kazuo.

In: Nihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society, Vol. 46, No. 9, 09.2008, p. 722-725.

Research output: Contribution to journalArticle

Mikita, Kei ; Kobayashi, Hideo ; Osoreda, Hisayuki ; Kanoh, Soichiro ; Motoyoshi, Kazuo. / Case of metastatic germ cell tumor with testicular calcification detected by MD-CT. In: Nihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society. 2008 ; Vol. 46, No. 9. pp. 722-725.
@article{d404bcef62e84f9fa5477c784a7e2945,
title = "Case of metastatic germ cell tumor with testicular calcification detected by MD-CT",
abstract = "Metastasis of testicular germ cell tumor should be included in the differential diagnosis when young male patient have multiple pulmonary metastases. However burned-out tumors cannot be easily detected on inspection and palpation of the testis. A 19 year-old man visited to our hospital complaining of anorexia, weight loss and dyspnea. Chest X-ray films showed multiple lung nodules. Physical examination revealed gynecomastia, and many cervical, axillary, and inguinal lymph nodes with a diameter of 1 cm were palpable. Physical examination of testis revealed no laterality. Multi-detector CT showed multiple lung nodules, a hepatic and a retroperitoneal large mass and a tiny calcification in the right testis. Histological findings of the lung obtained by percutaneous biopsy and the presence of a calcification in the testis led to a diagnosis of testicular choriocarcinoma showing burned-out tumor. However there was no previous report of burned-out tumor detected by CT, MD-CT including that of the testis was valuable at the first diagnostic stage when germ cell tumor was suspected.",
author = "Kei Mikita and Hideo Kobayashi and Hisayuki Osoreda and Soichiro Kanoh and Kazuo Motoyoshi",
year = "2008",
month = "9",
language = "English",
volume = "46",
pages = "722--725",
journal = "Respiratory Investigation",
issn = "2212-5345",
publisher = "Elsevier BV",
number = "9",

}

TY - JOUR

T1 - Case of metastatic germ cell tumor with testicular calcification detected by MD-CT

AU - Mikita, Kei

AU - Kobayashi, Hideo

AU - Osoreda, Hisayuki

AU - Kanoh, Soichiro

AU - Motoyoshi, Kazuo

PY - 2008/9

Y1 - 2008/9

N2 - Metastasis of testicular germ cell tumor should be included in the differential diagnosis when young male patient have multiple pulmonary metastases. However burned-out tumors cannot be easily detected on inspection and palpation of the testis. A 19 year-old man visited to our hospital complaining of anorexia, weight loss and dyspnea. Chest X-ray films showed multiple lung nodules. Physical examination revealed gynecomastia, and many cervical, axillary, and inguinal lymph nodes with a diameter of 1 cm were palpable. Physical examination of testis revealed no laterality. Multi-detector CT showed multiple lung nodules, a hepatic and a retroperitoneal large mass and a tiny calcification in the right testis. Histological findings of the lung obtained by percutaneous biopsy and the presence of a calcification in the testis led to a diagnosis of testicular choriocarcinoma showing burned-out tumor. However there was no previous report of burned-out tumor detected by CT, MD-CT including that of the testis was valuable at the first diagnostic stage when germ cell tumor was suspected.

AB - Metastasis of testicular germ cell tumor should be included in the differential diagnosis when young male patient have multiple pulmonary metastases. However burned-out tumors cannot be easily detected on inspection and palpation of the testis. A 19 year-old man visited to our hospital complaining of anorexia, weight loss and dyspnea. Chest X-ray films showed multiple lung nodules. Physical examination revealed gynecomastia, and many cervical, axillary, and inguinal lymph nodes with a diameter of 1 cm were palpable. Physical examination of testis revealed no laterality. Multi-detector CT showed multiple lung nodules, a hepatic and a retroperitoneal large mass and a tiny calcification in the right testis. Histological findings of the lung obtained by percutaneous biopsy and the presence of a calcification in the testis led to a diagnosis of testicular choriocarcinoma showing burned-out tumor. However there was no previous report of burned-out tumor detected by CT, MD-CT including that of the testis was valuable at the first diagnostic stage when germ cell tumor was suspected.

UR - http://www.scopus.com/inward/record.url?scp=56149104763&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=56149104763&partnerID=8YFLogxK

M3 - Article

VL - 46

SP - 722

EP - 725

JO - Respiratory Investigation

JF - Respiratory Investigation

SN - 2212-5345

IS - 9

ER -