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Abstract

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Article in Japanese

Case Report

A case of a testicular germ cell tumor with life-threatening choriocarcinoma syndrome

Seishi Higashi  Naoto Huruya  Yusuke Sogami  Toshiharu Tsutsui  Yumiko Kakizaki  Yoshihiro Miyashita 

Division of Respiratory Medicine, Yamanashi Prefectural Central Hospital

ABSTRACT

A 25-year-old man presented with back pain, cough, and bloody sputum. Chest X-ray film showed multiple lung nodules. Computed tomography demonstrated multiple lung nodules, a retroperitoneal large mass, multiple liver nodules, and a left scrotal swelling. He was referred to the urology department with a suspected testicular germ cell tumor. Histological findings by high orchiectomy revealed mature teratoma. On day 5, he was complicated by hemoptysis requiring support in the intensive care unit. Because of marked elevation of the serum human chorionic gonadotropin level, he was suspected of having a burned-out tumor and pulmonary hemorrhage associated with choriocarcinoma syndrome. Treatment of BEP therapy (bleomycin, etoposide, and cisplatin) was not effective, and he died of hemoptysis and sepsis caused by myelosuppression.

KEYWORDS

Testicular tumor  Burned-out tumor  Choriocarcinoma syndrome 

Received 17 Nov 2015 / Accepted 22 Feb 2016

AJRS, 5(3): 121-125, 2016

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