Abstract
A 42-year-old male presented with bilateral scrotal swelling and sense of abdominal fullness. Ultrasonography and computed tomographic (CT) scan showed right testicular tumor, left scrotal hydrocele and excessive ascites, but no distant metastases. The serum lactic acid dehydrogenase (LDH) value was as high as 4,060 IU/L and beta human chorionic gonadotropin (hCG) value was 4.0 ng/ml while alpha fetoprotein (AFP) value was within the normal range. Right high orchiectomy was performed as well as the ascites and the left scrotal fluid sampling. Histological examinations revealed anaplastic seminoma in the right testis, and similar cells were found in the ascites and the left scrotal fluid. The patient received three courses of BEP chemotherapy consisting of bleomycin, VP-16 and cisplatin. The ascites and tumor markers (LDH and beta hCG) decreased markedly. Intraperitoneal dissemination of the tumor cells seems to be caused by invasion along the right spermatic cord, but the route of dissemination into the left hydrocele fluid is not known. To the best of our knowledge, this is the first case report of testicular tumor that showed intraperitoneal dissemination without any evidence of metastasis to the lymphnodes or distant organs.
| Original language | English |
|---|---|
| Pages (from-to) | 423-425 |
| Number of pages | 3 |
| Journal | Acta Urologica Japonica |
| Volume | 44 |
| Issue number | 6 |
| Publication status | Published - 1998 Jun |
| Externally published | Yes |
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Keywords
- Abdominal dissemination
- Ascites
- Metastasis
- Seminoma
- Testicular tumor
ASJC Scopus subject areas
- Urology
Cite this
Intraperitoneal dissemination of testicular tumor : A case report. / Kuruma, Hidetoshi; Ikeda, Yoshihiro; Nakajima, Fumio; Miyajima, Akira; Asano, Tomohiko; Hayakawa, Masamichi; Nakamura, Hiroshi.
In: Acta Urologica Japonica, Vol. 44, No. 6, 06.1998, p. 423-425.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Intraperitoneal dissemination of testicular tumor
T2 - A case report
AU - Kuruma, Hidetoshi
AU - Ikeda, Yoshihiro
AU - Nakajima, Fumio
AU - Miyajima, Akira
AU - Asano, Tomohiko
AU - Hayakawa, Masamichi
AU - Nakamura, Hiroshi
PY - 1998/6
Y1 - 1998/6
N2 - A 42-year-old male presented with bilateral scrotal swelling and sense of abdominal fullness. Ultrasonography and computed tomographic (CT) scan showed right testicular tumor, left scrotal hydrocele and excessive ascites, but no distant metastases. The serum lactic acid dehydrogenase (LDH) value was as high as 4,060 IU/L and beta human chorionic gonadotropin (hCG) value was 4.0 ng/ml while alpha fetoprotein (AFP) value was within the normal range. Right high orchiectomy was performed as well as the ascites and the left scrotal fluid sampling. Histological examinations revealed anaplastic seminoma in the right testis, and similar cells were found in the ascites and the left scrotal fluid. The patient received three courses of BEP chemotherapy consisting of bleomycin, VP-16 and cisplatin. The ascites and tumor markers (LDH and beta hCG) decreased markedly. Intraperitoneal dissemination of the tumor cells seems to be caused by invasion along the right spermatic cord, but the route of dissemination into the left hydrocele fluid is not known. To the best of our knowledge, this is the first case report of testicular tumor that showed intraperitoneal dissemination without any evidence of metastasis to the lymphnodes or distant organs.
AB - A 42-year-old male presented with bilateral scrotal swelling and sense of abdominal fullness. Ultrasonography and computed tomographic (CT) scan showed right testicular tumor, left scrotal hydrocele and excessive ascites, but no distant metastases. The serum lactic acid dehydrogenase (LDH) value was as high as 4,060 IU/L and beta human chorionic gonadotropin (hCG) value was 4.0 ng/ml while alpha fetoprotein (AFP) value was within the normal range. Right high orchiectomy was performed as well as the ascites and the left scrotal fluid sampling. Histological examinations revealed anaplastic seminoma in the right testis, and similar cells were found in the ascites and the left scrotal fluid. The patient received three courses of BEP chemotherapy consisting of bleomycin, VP-16 and cisplatin. The ascites and tumor markers (LDH and beta hCG) decreased markedly. Intraperitoneal dissemination of the tumor cells seems to be caused by invasion along the right spermatic cord, but the route of dissemination into the left hydrocele fluid is not known. To the best of our knowledge, this is the first case report of testicular tumor that showed intraperitoneal dissemination without any evidence of metastasis to the lymphnodes or distant organs.
KW - Abdominal dissemination
KW - Ascites
KW - Metastasis
KW - Seminoma
KW - Testicular tumor
UR - http://www.scopus.com/inward/record.url?scp=0032084715&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0032084715&partnerID=8YFLogxK
M3 - Article
C2 - 9719944
AN - SCOPUS:0032084715
VL - 44
SP - 423
EP - 425
JO - Acta Urologica Japonica
JF - Acta Urologica Japonica
SN - 0018-1994
IS - 6
ER -