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
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Convulsões
/
Neoplasias Testiculares
/
Neoplasias Encefálicas
/
Neoplasias Embrionárias de Células Germinativas
Tipo de estudo:
Estudo diagnóstico
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Int. braz. j. urol
Assunto da revista:
Urologia
Ano de publicação:
2019
Tipo de documento:
Artigo
País de afiliação:
Taiwan
Instituição/País de afiliação:
Taipei Medical University/TW
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