Pathological Complete Response of Metastatic Testicular Tumor with Persistent Low Level Positive Human Chorionic Gonadotropin after Chemotherapy

DOI HANDLE Web Site PubMed Open Access

Bibliographic Information

Other Title
  • 化学療法後HCG 低値陽性遷延するも病理学的完全寛解が確認された進行精巣腫瘍の1例
  • カガク リョウホウ ゴ HCG テイチ ヨウセイ センエン スル モ ビョウリガクテキ カンゼンカンカイ ガ カクニン サレタ シンコウセイソウ シュヨウ ノ 1レイ

Search this article

Abstract

We describe a case of testicular tumor with multiple metastasis to the lung, retoroperitoneal lymph node, and brain. After chemotherapy the retroperitoneal lymph node and brain metastasis disappeared, but the multiple pulmonary metastases but not disappear, although they were reduced in size. Since the human chorionic gonadotoropin (HCG) was persistently dected at a low level, we performed a testosterone tolerance test. The HCG level became undetectable for a while, but was detected at a low level again. Then the patient underwent residual tumor removal of some of the residual pulmonary disease, which was diagnosed as tumor necrosis. The patient has been followed on an ambulatory basis after surgery for 12 months without recurrence. In this case a definitive diagnosis was difficult, because of the low positive level of HCG.

Journal

  • 泌尿器科紀要

    泌尿器科紀要 63 (3), 119-124, 2017-03-31

    泌尿器科紀要刊行会

Keywords

Details 詳細情報について

Report a problem

Back to top