異時性両側精巣腫瘍に対し精巣部分切除を施行した1例

HANDLE Web Site オープンアクセス

書誌事項

タイトル別名
  • Organ-sparing Surgery for Contralateral Testicular Tumor Following Orchiectomy : a Case Report
  • イジセイ リョウソク セイソウ シュヨウ ニ タイシセイソウ ブブン セツジョ オ シコウ シタ 1レイ

この論文をさがす

抄録

A 30-year-old man underwent a left high orchiectomy because of stage I testicular tumor in December, 2006. A palpable nodule was noticed in the contralateral testicle in March, 2008. No tumor marker was elevated. Imaging studies including ultrasonography and magnetic resonance imaging showed a 13 mm tumor consisting of both a solid portion and a hemorrhagic cyst. A malignant tumor could not be ruled out completely based on examinations and his medical history. Tumor resection with partial orchiectomy was planned after informed consent. Preoperative serum concentration of free testosterone was 8.4 pg/ml, and motile sperm were found in the semen analysis. The tumor was resected while the spermatic cord was clamped transiently. The pathological diagnosis of frozen sections confirmed no malignancy, and the final pathological result was mature teratoma, no evidence of malignancy. No androgen substitution has been required. Furthermore, a few normal motile sperm were detected in the ejaculated semen after the surgery. Organ-sparing surgery for the contralateral testicular tumor following orchiectomy, can be considered to avoid infertility and hormonal substitutions.

収録刊行物

  • 泌尿器科紀要

    泌尿器科紀要 57 (3), 147-149, 2011-03-31

    泌尿器科紀要刊行会

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ