ADENOCARCINOMA OF THE RETE TESTIS WITH METASTASIS OF THE PENILE AND LUNG: A CASE REPORT
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- Noguchi Takeaki
- Department of Urology, Kanagawa Cancer Center
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- Osaka Kimito
- Department of Urology, Kanagawa Cancer Center
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- Shibata Yousuke
- Department of Urology, Kanagawa Cancer Center
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- Koizumi Mitsuyuki
- Department of Urology, Kanagawa Cancer Center
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- Suzuki Takahisa
- Department of Urology, Kanagawa Cancer Center
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- Kishida Takeshi
- Department of Urology, Kanagawa Cancer Center
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- Okubo Youichiro
- Department of Pathology, Kanagawa Cancer Center
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- Kameda Youichi
- Department of Pathology, Kanagawa Cancer Center
Bibliographic Information
- Other Title
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- 陰茎・肺転移を認めた精巣腺癌の1例
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Abstract
<p>Adenocarcinoma of the rete testis is a rare malignant tumor with poor prognosis. We report a case of adenocarcinoma of the rete testis. A 55-year-old man became aware of discomfort in the right scrotum. Negative results were obtained for the serum markers AFP, β-human chorionic gonadotropin (β-HCG), and LDH. Computed tomography (CT) showed enhancement of the right testis. Radical orchiectomy was performed. Immunohistochemical examination of the resected specimen showed positive results for CEA, and adenocarcinoma of the rete testis was diagnosed. Serum CEA level was elevated. CT showed swelling of the para-aortic lymph nodes. Retroperitoneal lymph node dissection (RPLND) was performed, and serum CEA then normalized. The patient developed penile metastases 4 months after RPLND, and serum CEA level again increased. Total penile resection was performed. TIP (Paclitaxel, Ifosfamide, Cisplatin) therapy was started after lung metastasis and increased serum CEA were identified. CT after 2 cycles of TIP therapy revealed disappearance of lung metastasis and normalization of serum CEA. Five months later, CT showed recurrence of lung metastases.</p>
Journal
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- The Japanese Journal of Urology
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The Japanese Journal of Urology 113 (2), 78-81, 2022-04-20
THE JAPANESE UROLOGICAL ASSOCIATION
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Keywords
Details 詳細情報について
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- CRID
- 1390014348394354176
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- ISSN
- 18847110
- 00215287
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed