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Testicular cancer of the lymph nodes. Cancerul de Testicul

Cancerul de Testicul

His complaints have begun 6 months before the admission. After four courses of BEP bleomycin, etoposide and cisplatinorchiectomy was performed and the patient was under surveillance in the oncology department.

testicular cancer of the lymph nodes

The degree of AFP elevation in patients with non-seminomatous germ cell tumours NSGCT establishes the prognosis and is used to assign an appropriate chemotherapy regimen. Keywords mature teratoma, lung metastases, alpha 1-fetoprotein, multidisciplinary treatment Rezumat Prezentăm cazul unui pacient în vârstă de 37 de ani, fără an­te­cedente patologice semnificative, care s-a prezentat la camera de gardă cu dispnee şi durere toracică apărute după un episod de hemoptizie, la examinarea clinică prezentând o formaţiune palpabilă la nivelul testiculului stâng.

RPLND Surgery for Josh's Testicular Cancer

Simp­to­ma­tologia a în­ce­put în urmă cu şase luni. După patru serii de BEP bleomycin, eto­po­side şi cisplatinse intervine chi­rur­gical, practicându-se or­hi­ec­tomie pe cale inghinală, ul­te­rior pacientul rămânând în ur­mă­rire în Departamentul de on­co­logie medicală.

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Creş­te­rea AFP la pacienţii cu tumori ger­mi­nale testiculare non­se­mi­no­ma­toa­se NSGCT are valoare prog­nos­tică şi este folosită pentru sta­bilirea unui tratament chimioterapic potrivit. Cuvinte cheie teratom matur metastaze pulmonare AFP tratament multidisciplinar Case presentation We present the case of a year-old man, in clinical state of health until 6 months before the admission, when he testicular cancer of the lymph nodes to notice a left-sided testicular swelling, but with no associated pain at the time.

The swelling progressed over the next few months, and was associated with dyspnea and chest pain. Also, he complained of weight loss about 10 kg in the past 6 months.

He presented to the hospital in Augustafter one episode of haemoptysis, with severe dyspnea. He smoked one pack of cigarettes a day for 12 years, and he used to drink alcoholic beverages on weekends. His family history revealed: the father with hypertension, and an uncle with type 2 diabetes.

  1. II, Nr.
  2. Cancerul de Testicul
  3. Non hpv cervical cancer
  4. Tumoare germinală testiculară nonseminomatoasă cu prognostic rezervat
  5. Armata varicoasă testicular

The other examinations were normal. Laboratory tests at first admission CBC showed a haemoglobin of PT prothrombin time was The imagistic exams performed in Septemberchest X-ray and CT scan of the chest Figure 1 and Fi­gure 2showed multiple nodules with different sizes, and the probability of metastasis became propounded.

And I don't like asking for help But I have to, because I know he would do it for me.

Figure 1. Chest X-ray: lung metastases Figure 2. Management: the therapeutic decision was planned by BEP bleomycin, etoposide and cisplatin as classic five-day protocol.

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After four cycles of BEP, the level of serum tumor markers reached the normal value, and we decided to perform a left orchiectomy, that had no intra- or postoperative complications. The histopathologic examination showed mature teratoma inflitrative to the tunica albuginea and spermatic cord; the spermatic cord lymph node showed also mature teratoma, with pT3 pN2 stage stadialization.

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Tabel 1. Therefore, the decission was to start chemotherapy.

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In Marchthe check-up PET-CT showed once again activity in his lungs metastases, and also active testicular cancer of the lymph nodes lymph nodes latero-tracheal, hilar lymph nodeswith no other sites involvment. At this moment, our patient is at his fourth cycle of chemotherapy since we restarted. This distinction guides the clinician in both prognosis and treatment strategies.

Armata varicoasă testicular

Positron-emission thomography scan can also be used to highlight the hypermetabolic lymph node metastases. M1a — Non-regional nodal or pulmonary metastasis.

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The patient is a unique case, showing a special significance and connection between AFP serum level, PET-CT hypermetabolic lymph nodes and the respose to chemotherapy.

We are also testicular cancer of the lymph nodes further for new molecular targeted therapies with a good response in the treatment of germ cell tumors of patients with recurrence after salvage chemotherapy.

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Conflict of interests: The author declares no conflict of interests. Alpha-foetoprotein heterogeneity: what is its value in managing patients with germ cell tumours?. Clin Oncol R Coll Radiol.

Tumoare germinală testiculară nonseminomatoasă cu prognostic rezervat

J Clin Oncol. De Vita et al.

Los hombres blancos son más propensos a desarrollar este tipo de cáncer que los hombres afroamericanos y asiáticos. One of a pair of veins emerging from convoluted venous plexuses, forming the greater mass of the spermatic cords. Learn vocabulary, terms, and more with flashcards, games, and other study tools.

Cancers of the Genitourinary System. LWW Health Library.