일차적 항암화학요법으로 치료한 복강내 정류고환에서 발생한 거대 정상피종 1례
Giant Seminoma Arising in Intraabdominal Undescended Testis Treated with Initial Chemotherapy: A Case Report
Sung Ryong Kim, Hyun Soo Ahn, Hugh Chul Kim,1 Jang Hee Kim,2 Hee Jae Joo,2 Eun Ju Lee,3 Se Joong Kim
From the Departments of Urology, 1Hemato-Oncology, 2Pathology, 3Radiology, Ajou University School of Medicine, Suwon, Korea
Seminoma arising in an abdominally located undescended testis is uncommon, account- ing for only 5% of all seminomas. It tends to be relatively advanced at the time of diagnosis and usually treated with surgery followed by radiation and/or chemotherapy.
We report a case of 61-year-old man who had a giant seminoma arising in the right testis of bilateral intraabdominal undescended testes with retroperitoneal lymph node metastasis, which was successfully treated with initial BEP chemotherapy. Excision of residual masses revealed complete necrosis of the tumor without viable cancer cells.
The patient has been free of recurrence for 5 years after surgery. (Korean J Urol 2001; 42:568-571)
Key Words: Seminoma, Undescended testis, Chemotherapy