Giant testicular tumor associated with scrotal gangrene: a case report

A case of giant testicular tumor associated with scrotal gangrene is reported. A 33-year-old man had a swollen scrotum (15 cm) accompanied with necrosis and a foulodor. The tumor had invaded the scrotum, perineum and the left spermatic cord. Serum alpha-fetoprotein level was 15,487 ng/ml. The chest...

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Veröffentlicht in:	Hinyokika kiyo. Acta urologica Japonica 1997-03, Vol.43 (3), p.237
Hauptverfasser:	Hyouchi, N, Yamada, T, Takeuchi, S, Machida, T, Kanou, H, Tanizawa, A, Fukuda, H, Kamata, S, Saitoh, H
Format:	Artikel
Sprache:	jpn
Schlagworte:	Adult Gangrene Genital Diseases, Male - complications Genital Diseases, Male - pathology Humans Male Neoplasm Invasiveness Neoplasm Metastasis Scrotum - pathology Teratocarcinoma - complications Teratocarcinoma - secondary Testicular Neoplasms - complications Testicular Neoplasms - pathology
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Zusammenfassung:	A case of giant testicular tumor associated with scrotal gangrene is reported. A 33-year-old man had a swollen scrotum (15 cm) accompanied with necrosis and a foulodor. The tumor had invaded the scrotum, perineum and the left spermatic cord. Serum alpha-fetoprotein level was 15,487 ng/ml. The chest radiograph revealed multiple metastases. Bilateral high orchiectomies and local resection with a wide margin were performed. The tumor weighed 2.5 kg and the histopathological diagnosis was teratocarcinoma. He was treated with 3 courses of chemotherapy with cisplatin, etoposide and peplomycin. A second-look surgery revealed no viable cancer cells in the residual masses. The patient has been free of recurrence 4 months postoperatively.
ISSN:	0018-1994