A case of extragonadal germ cell tumor with inferior vena caval tumor thrombus

We report a case of retroperitoneal extragonadal germ cell tumor with tumor thrombus in the inferior vena cava. The patient referred to our hospital with lumbago. Computed tomography (CT) showed a bulky mass in the retroperitoneum. The levels of alpha-fetoprotein (AFP) and beta-human chorionic gonad...

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Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 45(1999), 9 vom: 23. Sept., Seite 613-5
1. Verfasser: Hashimoto, Y (VerfasserIn)
Weitere Verfasser: Yamagata, K, Kondo, Y, Hamasaki, T, Tsuboi, N, Akimoto, M
Format: Aufsatz
Sprache:Japanese
Veröffentlicht: 1999
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:Case Reports English Abstract Journal Article Bleomycin 11056-06-7 Etoposide 6PLQ3CP4P3 Cisplatin Q20Q21Q62J
Beschreibung
Zusammenfassung:We report a case of retroperitoneal extragonadal germ cell tumor with tumor thrombus in the inferior vena cava. The patient referred to our hospital with lumbago. Computed tomography (CT) showed a bulky mass in the retroperitoneum. The levels of alpha-fetoprotein (AFP) and beta-human chorionic gonadotropin (beta-HCG) in the serum were elevated. Histological examinations indicated embryonal cell carcinoma. Bilateral testicles did not contain any palpable mass upon careful palpation. No tumor mass was detected in the bilateral testicles on ultrasonography. Clinically, the diagnosis was a retroperitoneal extragonadal germ cell tumor associated with para-aortic lymph-node involvement. After the combination chemotherapy (BEP 1 course and EP 3 courses), the tumor mass was reduced in size and the tumor marker was normalized. Retroperitoneal lymph node dissection (RPLND) was performed and tumor thrombus in the inferior vena cava was resected. There was no involvement of the viable cells in the resected tumor. The patient has been in good condition with no evidence of disease
Beschreibung:Date Completed 21.12.1999
Date Revised 21.11.2013
published: Print
Citation Status MEDLINE
ISSN:0018-1994