[睾丸精原细胞瘤病例，诊断前在肺部发现形状异常的转移结节]。

Q4 Medicine

Japanese Journal of Cancer and Chemotherapy Pub Date : 2024-09-01

Ryo Ichikawa, Akane Kato, Takuma Atagi, Takayuki Shiina, Shogo Ide, Sachie Koike, Keiichiro Takasuna, Maki Osada, Ryo Kitahara, Takayuki Kamigaito, Toshitsugu Nakamura

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引用次数: 0

摘要

一名 57 岁的男子因胸部 X 光检查结果异常来我院就诊。胸部计算机断层扫描（CT）显示右肺上叶有汞齐串珠状实性结节。患者接受了右上叶肺叶切除术，经组织学鉴定，结节为精原细胞瘤。正电子发射断层扫描（PET）-CT显示，肺部结节有较高的18F-氟脱氧葡萄糖（FDG）摄取，左侧睾丸有微弱摄取。由于超声和触诊均未发现睾丸内有肿瘤，因此未征得患者同意进行睾丸切除术。考虑到 PET-CT 的结果，我们诊断为睾丸精原细胞瘤伴单发肺转移，这种情况极为罕见。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

本刊更多论文

[Case of Testicular Seminoma in Which the Diagnosis Was Preceded by the Discovery of Atypically Shaped Metastatic Nodules in the Lung].

A 57-year-old man visited our hospital due to abnormal chest X-ray findings. Chest computed tomography(CT)showed amalgamated beaded solid nodules in the right upper lobe of the lung. Lobectomy of the right upper lobe was performed and the nodule was histologically determined to be seminoma. Positron emission tomography(PET)-CT showed high 18F-fluorodeoxyglucose(FDG)uptake in the lung nodules and faint uptake in the left testicle. As ultrasound and palpation detected no tumor in the testes, consent to perform orchiectomy was not obtained. Considering the PET-CT findings, we diagnosed testicular seminoma with solitary pulmonary metastasis, which is extremely rare.

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来源期刊

Japanese Journal of Cancer and Chemotherapy Medicine-Medicine (all)

CiteScore

0.20

自引率

0.00%

发文量

337