Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press9910.17650/1726-9776-2013-9-2-69-72CLINICAL CASEКЛИНИЧЕСКИЙ СЛУЧАЙDIAGNOSIS AND TREATMENT OF METACHRONOUS TESTICULAR CANCER: A CLINICAL CASEДИАГНОСТИКА И ЛЕЧЕНИЕ МЕТАХРОННОГО РАКА ЯИЧЕК. КЛИНИЧЕСКИЙ СЛУЧАЙKalpinskyA. S.КалпинскийА. С.
Russian Federation
byalerseev@mail.ruPryadilovaE. V.ПрядиловаЕ. В.
Russian Federation
byalerseev@mail.ruKaprinA. D.КапринА. Д.
Russian Federation
byalerseev@mail.ruAlekseevB. Ya.АлексеевБ. Я.
Russian Federation
byalerseev@mail.ruP.A. Herzen Moscow Oncology Research InstituteМНИОИ им. П.А. Герцена3006201392697227072014https://oncourology.abvpress.ru/oncur/article/view/99

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.

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