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- MIYATA Hajime
- The Department of Urology, Hokkaido University Hospital; The Department of Urology, Hakodate Central General Hospital
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- ABE Takashige
- The Department of Urology, Hokkaido University Hospital
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- IWAHARA Naoya
- The Department of Urology, Hokkaido University Hospital
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- KIKUCHI Hiroshi
- The Department of Urology, Teine Keijinkai Hospital
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- CHIBA Hiroki
- The Department of Urology, Hokkaido University Hospital
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- MATSUMOTO Ryuji
- The Department of Urology, Hokkaido University Hospital
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- OSAWA Takahiro
- The Department of Urology, Hokkaido University Hospital
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- TANAKA Hiroshi
- The Department of Urology, Sapporo City General Hospital
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- MORITA Ken
- The Department of Urology, Kushiro City General Hospital
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- MITSUHASHI Tomoko
- The Department of Surgical Pathology, Hokkaido University Hospital
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- SHINOHARA Nobuo
- The Department of Urology, Hokkaido University Hospital
Bibliographic Information
- Other Title
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- 孤発性腸骨転移を来たした精巣腫瘍の1例
- コハツセイ チョウ コツ テンイ オ キタ シタ セイソウ シュヨウ ノ 1レイ
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Abstract
A 23-year-old male was aware of pain around his left hip joint and visited a nearby orthopedic clinic. Swelling of the right testis was pointed out, and a testicular tumor was suspected. He was referred to the urology department of a local hospital. Blood analysis showed an increase of α-fetoprotein (AFP) (3, 620 ng/ml). Computed tomographic (CT) -scan revealed a left iliac bone metastasis and morbid fracture. Right radical inguinal orchiectomy was performed. The pathological examination revealed mixed germ cell tumor (embryonic carcinoma and immature teratoma: 70%, seminoma: 30%). The diagnosis was non-seminomatous germ cell tumor, stage IIIc, and poor risk on the International Germ Cell Consensus Classification. After one cycle of a bleomycin, etoposide and cisplatinum (BEP) regimen, he was referred to our hospital. After a total of 4 cycles of BEP, AFP was normalized. Denosumab was also administered monthly. The CT-scan showed a reduction of bone metastasis and recovery of ossification. Bone biopsy did not show viable tumor cells. Because extirpation of the remaining mass would require resection of the left part of the pelvic bone with significant functional loss of the left limb, we performed close follow-up after an additional 2 courses of the etoposide and cisplatin regimen. The patient is currently alive without recurrence at 45 months after the last systemic chemotherapy.
Journal
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- 泌尿器科紀要
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泌尿器科紀要 69 (9), 259-264, 2023-09-30
泌尿器科紀要刊行会
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Details 詳細情報について
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- CRID
- 1390016262469981824
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- NII Book ID
- AN00208315
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- HANDLE
- 2433/285348
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- NDL BIB ID
- 033065660
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- ISSN
- 00181994
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- Text Lang
- ja
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- Data Source
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- JaLC
- IRDB
- NDL
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- Abstract License Flag
- Allowed