Late Recurrence of Seminoma Diagnosed by Endoscopic Ultrasound-Guided Fine Needle Aspiration in a Retroperitoneal Lymph Node

The patient was a 43-year-old man. At 30 years of age, he underwent high-inguinal orchiectomy for a right testicular tumor and was diagnosed with seminoma pT1N0M0. The patient had been followed without additional treatment and had dropped out 7 years after surgery. At 43 years of age, abdominal ultr...

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Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 66(2020), 2 vom: 06. Feb., Seite 53-57
1. Verfasser: Tani, Masaru (VerfasserIn)
Weitere Verfasser: Nakata, Wataru, Yamamichi, Gaku, Tsujimura, Go, Hirao, Motohiro, Tsujimoto, Yuichi, Nin, Mikio, Hiramatsu, Naoki, Tsujihata, Masao
Format: Online-Aufsatz
Sprache:Japanese
Veröffentlicht: 2020
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:Case Reports Journal Article
Beschreibung
Zusammenfassung:The patient was a 43-year-old man. At 30 years of age, he underwent high-inguinal orchiectomy for a right testicular tumor and was diagnosed with seminoma pT1N0M0. The patient had been followed without additional treatment and had dropped out 7 years after surgery. At 43 years of age, abdominal ultrasonography performed for screening revealed a swollen 4 cm-wide intra-abdominal lymph node, and he was referred to our department. Abdominal contrast-enhanced computed tomography (CT) showed a mass with a 5 cm-wide contrast effect that contacted the anterior surface of the inferior vena cava from the duodenum to the aortic bifurcation. Histological examination by trans-duodenal ultrasound-guided fineneedle aspiration suggested late recurrence of seminoma. After receiving three courses of BEP (bleomycin, etoposide, and platinum) therapy, the patient underwent laparoscopic lymphadenectomy. Pathological examination showed no residual tumor, and the patient was free of recurrence at 13 months after surgery
Beschreibung:Date Completed 26.08.2020
Date Revised 26.08.2020
published: Print
Citation Status MEDLINE
ISSN:0018-1994
DOI:10.14989/ActaUrolJap_66_2_53