[Effective chemoembolization for liver metastasis in a case of testicular cancer]

A 21-year-old male with a previous history of retroperitoneal tumor treated with chemotherapy, radiotherapy, immunotherapy and probe laparotomy was admitted with a complaint of right scrotal enlargement and liver tumor. He had retroperitoneal mass and large liver tumor on an abdominal CT scan. Right inguinal orchiectomy was performed on April 14, 1988. Histopathological diagnosis confirmed embryonal cell carcinoma plus seminoma. Cisplatin, vinblastine and bleomycin combination chemotherapy (PEB) was started and repeated for 4 courses. Repeat CT scan showed significant shrinkage of retroperitoneal and liver tumor, but not complete eradication of tumors. Chemoembolization of liver tumor was done on August 5, 1988. Biopsy of liver tumor revealed disappearance of viable tumor cells. On CT scan, no retroperitoneal tumor was detected on February 27, 1990, and no liver tumor was delineated on August 30, 1991. The patient was alive with no evidence of disease on February 28, 1994.