| Journal: | International braz j urol |
| Database: | PERIÓDICA |
| System number: | 000434775 |
| ISSN: | 1677-5538 |
| Authors: | Syu, Syuan-Hao1 Chang, Chia-Lun1 Shih, Hung-Jen1 |
| Institutions: | 1Taipei Medical University, Wan Fang Hospital, Taipei. Taiwán 2Taipei Medical University, College of Medicine, Taipei City. Taiwán |
| Year: | 2019 |
| Season: | May-Jun |
| Volumen: | 45 |
| Number: | 3 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Caso clínico, descriptivo |
| English abstract | Most patients with testicular germ cell tumor present with a painless scrotal mass. We report a 19-year-old patient who presented with neurological complains. Rapid clinical progression to coma was noted during the staging work up. A diagnosis of testicular mixed germ cell tumor with multiorgan metastasis (lymph node, lung, liver and brain) was made. Patients with brain metastasis should receive chemotherapy alone or combined with surgery or radiotherapy. Because the clinical symptoms deteriorated quickly, surgery was used upfront followed by chemotherapy and radiotherapy for the brain tumor. After the first stage of treatment, the clinical symptoms, tumor markers and imaging findings were improved. The residual brain tumor was eliminated by chemotherapy, and only sparse degenerated tumor cells were noted in the brain tissue. Longer follow up is required to assess the impact of our treatment strategy |
| Disciplines: | Medicina |
| Keyword: | Urología, Oncología, Tumor testicular de células germinales, Metástasis, Cerebro |
| Keyword: | Urology, Oncology, Testicular germ cells tumor, Metastasis, Brain |
| Full text: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
