Testicular mixed germ cell tumor presenting with seizure as the initial symptom: a case report and literature review
Int. braz. j. urol
;
45(3): 629-633, May-June 2019. graf
Article
Dans Anglais
| LILACS
| ID: biblio-1012332
ABSTRACT
Abstract Most patients with testicular germ cell tumor present with a painless scrotal mass. We report a 19-year-old patient who presented with neurological complains. Rapid clinical progression to coma was noted during the staging work up. A diagnosis of testicular mixed germ cell tumor with multiorgan metastasis (lymph node, lung, liver and brain) was made. Patients with brain metastasis should receive chemotherapy alone or combined with surgery or radiotherapy. Because the clinical symptoms deteriorated quickly, surgery was used upfront followed by chemotherapy and radiotherapy for the brain tumor. After the first stage of treatment, the clinical symptoms, tumor markers and imaging findings were improved. The residual brain tumor was eliminated by chemotherapy, and only sparse degenerated tumor cells were noted in the brain tissue. Longer follow up is required to assess the impact of our treatment strategy.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Crises épileptiques
/
Tumeurs du testicule
/
Tumeurs du cerveau
/
Tumeurs embryonnaires et germinales
Type d'étude:
Etude diagnostique
Limites du sujet:
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Int. braz. j. urol
Thème du journal:
Urologie
Année:
2019
Type:
Article
Pays d'affiliation:
Taïwan
Institution/Pays d'affiliation:
Taipei Medical University/TW
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS