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DIAGNOSIS AND TREATMENT OF METACHRONOUS TESTICULAR CANCER: A CLINICAL CASE
- Authors: Kalpinsky A.S.1, Pryadilova E.V.1, Kaprin A.D.1, Alekseev B.Y.1
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Affiliations:
- P.A. Herzen Moscow Oncology Research Institute
- Issue: Vol 9, No 2 (2013)
- Pages: 69-72
- Section: CLINICAL CASE
- Published: 30.06.2013
- URL: https://oncourology.abvpress.ru/oncur/article/view/99
- DOI: https://doi.org/10.17650/1726-9776-2013-9-2-69-72
- ID: 99
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Abstract
The incidence of bilateral testicular cancer is 5% in the total cohort of patients. Synchronous and metachronous testicular cancers are detected in 1-2 and 3% of cases, respectively. The standard treatment for testicular cancer is orchifuniculectomy and that for synchronous or metachronous cancer is organ-saving treatment, testectomy.
The paper describes a clinical case of multiple primary metachronous testicular cancer. A 24-year-old patient underwent surgery (orchifuniculectomy) and received 4 courses of BEP polychemotherapy for embryonal carcinoma of the left testicle at the P.A. Herzen Moscow Oncology Research Institute. After 55 months, a dynamic control examination diagnosed a 9-mm tumor in his single right testis that was thereafter resected. Its histological examination revealed embryonal carcinoma with solitary structures in the immature teratoma. Following 22 months, a control examination showed a recurrence of the disease, for which orchifuniculectomy of the single right testis, followed by hormone replacement therapy, was performed. The follow-up period was 80 months; no recurrence is now observed.
About the authors
A. S. Kalpinsky
P.A. Herzen Moscow Oncology Research Institute
Email: byalerseev@mail.ru
Russian Federation
E. V. Pryadilova
P.A. Herzen Moscow Oncology Research Institute
Email: byalerseev@mail.ru
Russian Federation
A. D. Kaprin
P.A. Herzen Moscow Oncology Research Institute
Email: byalerseev@mail.ru
Russian Federation
B. Ya. Alekseev
P.A. Herzen Moscow Oncology Research Institute
Author for correspondence.
Email: byalerseev@mail.ru
Russian Federation
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