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|a jpn
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|a Ozaki, Yumi
|e verfasserin
|4 aut
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|a In two patients with economic and social issues stage I giant seminoma
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|c 2013
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|a Text
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|a ohne Hilfsmittel zu benutzen
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|a Date Completed 27.08.2013
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|a Date Revised 15.02.2013
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|a published: Print
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|a Citation Status MEDLINE
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|a The first case was in a 39-year-old man who complained of painless, left hemiscrotal swelling. The patient's serum β human chorionic gonadotropin (β-hCG) was elevated. A chest X-ray and computerized tomography (CT) did not reveal any abnormal findings. The patient underwent left high orchiectomy. The tumor weighed 440 g, and was pathologically diagnosed as a seminoma. The patient chose surveillance as the management strategy. Five months after the operation, the patient stopped attending his periodic checkups. After 21 months, the patient complained of abdominal distention. A CT showed a para-aortic lymph node mass. The patient achieved a complete response following chemotherapy with etoposide and cisplatin for 4 cycles. Three months after the adjuvant chemotherapy, hospital visits stopped again due to financial difficulties. The second case was in a 36-year-old man who complained of painless, right hemiscrotal swelling and difficulty in walking. Clinical examination revealed an adult-head-sized testicular tumor with elevation of serum lactic dehydrogenase (LDH) and β-hCG. A chest X-ray and abdominal CT did not reveal any abnormal findings. Despite a recommendation that the patient undergo immediate orchiectomy, the patient did not undergo surgery due to his unstable lifestyle. After 1 month, the patient presented with more difficulty in walking. The patient underwent right high orchiectomy. The tumor weighed 1,926 g, and was pathologically diagnosed as a seminoma. The patient chose surveillance. There has been no recurrence for 19 months postoperatively
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|a Case Reports
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|a English Abstract
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|a Journal Article
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|a Sawada, Yoshitomo
|e verfasserin
|4 aut
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1 |
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|a Takeuchi, Yasuharu
|e verfasserin
|4 aut
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|a Kuroda, Kanami
|e verfasserin
|4 aut
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1 |
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|a Sekido, Noritoshi
|e verfasserin
|4 aut
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1 |
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|a Nakajima, Koichi
|e verfasserin
|4 aut
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1 |
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|a Kuwahara, Takashi
|e verfasserin
|4 aut
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|a Mitsuda, Aki
|e verfasserin
|4 aut
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773 |
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|i Enthalten in
|t Hinyokika kiyo. Acta urologica Japonica
|d 1962
|g 59(2013), 1 vom: 19. Jan., Seite 61-4
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|x 0018-1994
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|g year:2013
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|g month:01
|g pages:61-4
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