Partial and complete spontaneous regression of testicular seminoma: clinical cases
- Authors: Surkova V.S.1, Volchenko N.N.1, Burakova V.A.1, Lavrova A.M.1, Ashirova F.S.1,2, Khakimova G.G.3,4
-
Affiliations:
- P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Center, Ministry of Health of Russia
- I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
- Tashkent City Branch, Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology
- Department of Oncology, Pediatric Oncology, Tashkent Pediatric Medical Institute
- Issue: Vol 18, No 2 (2022)
- Pages: 198-205
- Section: CLINICAL NOTES
- Published: 14.08.2022
- URL: https://oncourology.abvpress.ru/oncur/article/view/1511
- DOI: https://doi.org/10.17650/1726-9776-2022-18-2-198-205
- ID: 1511
Cite item
Full Text
Abstract
Spontaneous tumour regression is a rare phenomenon in which there is a complete or partial regression of the primary tumour, clinically manifested by metastatic lesions. We report a case of a 34-year-old male with partial spontaneous regression of testicular seminoma detected by a supraclavicular lymph node biopsy. He underwent inguinal orchifunicolectomy. Based on the results of histological examination, against the background of multiple complexes of intratubular germ cell neoplasia in situ, foci of invasive growth and involution were identified, indicating a spontaneously regressing testicular tumour. We report the second case of a 52-year-old male with total spontaneous regression of testicular seminoma detected by a spermatic cord biopsy. Based on the results of histological examination, against fibrosis and proliferation of Leydig cells, there are atrophy of seminiferous tubules and complexes of intratubular germ cell neoplasia in situ in part of them.
About the authors
V. S. Surkova
P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Center, Ministry of Health of Russia
Author for correspondence.
Email: sidorencko.tori@gmail.com
ORCID iD: 0000-0002-2674-0416
Viktoriya Sergeevna Surkova
3 2nd Botkinskiy Proezd, Moscow 125284
Russian FederationN. N. Volchenko
P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Center, Ministry of Health of Russia
Email: mnioict@mail.ru
ORCID iD: 0000-0002-4873-4455
3 2nd Botkinskiy Proezd, Moscow 125284
Russian FederationV. A. Burakova
P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Center, Ministry of Health of Russia
Email: bur.va06@gmail.com
ORCID iD: 0000-0001-8968-360X
3 2nd Botkinskiy Proezd, Moscow 125284
Russian FederationA. M. Lavrova
P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Center, Ministry of Health of Russia
Email: anastasia.lavrova96@yandex.ru
ORCID iD: 0000-0002-8668-6108
3 2nd Botkinskiy Proezd, Moscow 125284
Russian FederationF. S. Ashirova
P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Center, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
Email: fidan_samirovna@bk.ru
ORCID iD: 0000-0002-1152-0058
3 2nd Botkinskiy Proezd, Moscow 125284; Build. 2, 8 Trubetskaya St., Moscow 119991
Russian FederationG. G. Khakimova
Tashkent City Branch, Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology; Department of Oncology, Pediatric Oncology, Tashkent Pediatric Medical Institute
ORCID iD: 0000-0002-4970-5429
Department of Oncology, Pediatric Oncology, TPMI.
1 Bogiston St., Tashkent 100070; 223 Bogishamol St., Tashkent 100140
UzbekistanReferences
- Cole W.H., Everson T.C. Spontaneous regression of cancer: preliminary report. Ann Surg 1956;144(3):366–83. doi: 10.1097/00000658‑19560900000007
- Vylegzhanin N.I. On spontaneous regression of malignant tumours. Kazanskiy meditsinskiy zhurnal = Kazan Medical Journal 1971;52(5):11–9. (In Russ.)]. doi: 10.17816/kazmj61549
- Zito G., Saotome I., Liu Z. et al. Spontaneous tumour regression in keratoacanthomas is driven by Wnt/retinoic acid signalling cross‑talk. Nat Commun 2014;5:1–13. doi: 10.1038/ncomms4543
- Moch H., Humphrey P.A., Ulbright T.M. et al. WHO Classification of Tumours of the Urinary System and Male Genital Organs. 4th edn. IARC: Lyon, 2016.
- Fabre E., Jira H., Izard V. et al. “Burned‑out” primary testicular cancer. BJU Int 2004;94(1):74–8. doi: 10.1111/j.1464‑410X.2004.04904.x
- Astigueta J.C., Abad‑Licham M.A., Agreda F.M. et al. Spontaneous testicular tumor regression: case report and historical review. Ecancermedicalscience 2018;12:888. doi: 10.3332/ecancer.2018.888
- Simon M.A., Iyer S., Goyal G., Chhabra S. Rare presentation of burned‑out testicular. Radiol Case Rep. 2020;15(9):1650–3. doi: 10.1016/j.radcr.2020.06.055
- Sahoo P.K., Mandal P.K., Mukhopadhyay S., Nath Basak S. Burned out seminomatous testicular tumor with retroperitoneal lymph node metastasis: a case report. Indian J Surg Oncol 2013;4(4):390–2. doi: 10.1007/s13193‑012‑0207‑6
- Kontos S., Doumanis G., Karagianni M. et al. Burned‑out testicular tumor with retroperitoneal lymph node metastasis: a case report. J Med Case Rep 2009;3:8705. doi: 10.4076/1752‑1947‑3‑8705
- Bulanov A.A. Modern tactics of treatment of patients with seminoma. Dis. … candidate of medical sciences. Moscow, 2018. 52 p. (In Russ.).
- Balzer B.L., Ulbright T.M. Spontaneous regression of testicular germ cell tumors. Am J Surg Pathol 2006;30(7):858–65. doi: 10.1097/01.pas.0000209831.24230.56
- Nishisho T., Sakaki M., Miyagi R. et al. Burned‑out seminoma revealed by solitary rib bone metastasis. Skeletal Radiol 2017;46(10):1415–20. doi: 10.1007/s00256‑017‑2701‑y
- Coulier B., Lefebvre Y., de Visscher L. et al. Metastases of clinically occult testicular seminoma mimicking primary extragonadal retroperitoneal germ cell tumors. JBR‑BTR 2008;91(4):139–44.
- Tasu J.P., Faye N., Eschwege P. et al. Imaging of burned‑out testis tumor. J Ultrasound Med 2003;22(5):515–21. doi: 10.7863/jum.2003.22.5.515
- Prym P. Spontaneous healing of a malignant, probably chorionepitheliomatous growth in the testicle. Virchow’s Archives of Pathological Anatomy and Physiology and of Clinical Medicine 1927;265(2): 239–58. (In German). doi: 10.1007/BF01894164
- Mosillo C., Scagnoli S., Pomati G. et al. Burned‑out testicular cancer: really a different history? Case Rep Oncol 2017;10(3):846–50. doi: 10.1159/000480493
- Perimenis P., Athanasopoulos A., Geraghty J., Macdonagh R.U. Retroperitoneal seminoma with “burned‑out” phenomenon in the testis. Int J Urol 2005;12(1):115–6 doi: 10.1111/j.1442‑2042.2004.00987.x
- Tryakin A.A., Gladkov O.A., Matveev V.B. et al. Practical recommendations for the drug treatment of germ cell tumors in men. Zlokachestvennye opukholi: Prakticheskie rekommendatsii RUSSCO = Malignant Tumors: RUSSCO Practical Guidelines #3s2, 2018;8:471–92. (In Russ.). doi: 10.18027/2224‑5057‑2018‑8‑3s2471‑492
Supplementary files

