一个来自双边精子瘤的精液囊转移病例
Yusuke Aida1, Yosuke Yasuda1, Emiko Sugawara2
1Department of Genitourinary Oncology, Cancer Institute Hospital Japanese Foundation for Cancer Research Ariake, Tokyo Kumamoto Japan.
IJU case reports
|March 4, 2025
概括
这项案例研究突出了丸半瘤8年后罕见的精液囊转移. 早期检测和化疗在治疗这种不寻常的复发方面是有效的.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 精子瘤复发通常发生在切除术后3年内,通常发生在肺部,肝脏或回性淋巴结中.
- 转移到精液囊中的转移是一种极其罕见的丸精液瘤的呈现.
研究的目的:
- 报告第一个经过双边根基管切除后发生的精液囊转移的记录病例,用于双边双边丸精子瘤.
- 描述这种罕见的临床场景的诊断和治疗方法.
主要方法:
- 一名52岁的患者有双边丸半瘤病史,在左侧精液囊中呈现出单独的病变.
- 通过磁共振成像 (MRI) 和针活检证实了诊断.
- 治疗包括四个循环的白素,埃托波西德和西斯 (BEP) 化疗.
- 对治疗的反应使用FDG-18正子发射断层扫描-计算机断层扫描 (PET-CT) 来评估.
主要成果:
- 这位患者在最初的骨科切除术8年后被诊断出左囊转移.
- 在BEP化疗后,FDG-PET-CT在左侧精液囊中没有显示任何异常信号,表明完整的反应.
结论:
- 这一病例是第一个在双侧丸半瘤的背景下报告的精液囊转移病例.
- 精液囊中转移,虽然很少见,但应考虑在丸精子瘤管切除术后晚期复发的差异诊断中.
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