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首页> 外文期刊>Italian Journal of Medicine >An 81-year-old patient with recent diagnosis of classic testicular seminoma
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An 81-year-old patient with recent diagnosis of classic testicular seminoma

机译：最近诊断为经典睾丸精原细胞瘤的81岁患者

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An old patient with recent diagnosis of classic seminoma is reported. The tumor of left testicle was heralded by tenderness about 30 days before medical attention and enlarged testis confirmation. There was antecedent of left testis hypotrophy treated with testosterone and a surgery for varicocele at 15 years of age. Clinical hypothesis of testicular tumor was strengthened by ultrasonography images and elevated tumor markers (lactate dehydrogenase, α -fetoprotein, and β -hCG). Radical orchiectomy was performed and a classic seminoma (pT1pNx) was diagnosed. Active waiting was the first choice for management, but six months later a retroperitoneal mass with lymph node enlargement were found, and he underwent four sessions of carboplatin (AUC 5), bleomycin and etoposide (BEP regimen). Asymptomatic, he was referred to outpatient surveillance on Oncology. Population-based studies about frequency and outcome of early-stage testis seminoma in elderly are scarce. Case studies might contribute to the knowledge about this condition.
机译：据报道，一名老年患者最近诊断为经典精原细胞瘤。在就医和扩大睾丸确认之前约30天，左睾丸肿瘤被压痛预示着。左睾丸肥大的前身是用睾丸激素治疗并在15岁时进行精索静脉曲张手术。超声图像和升高的肿瘤标志物（乳酸脱氢酶，α-甲胎蛋白和β-hCG）增强了睾丸肿瘤的临床假设。进行了根治性睾丸切除术并诊断出经典精原细胞瘤（pT1pNx）。积极等待是治疗的首选，但六个月后发现腹膜后肿块伴淋巴结肿大，他接受了四次卡铂（AUC 5），博来霉素和依托泊苷（BEP方案）治疗。无症状，他被转诊至肿瘤科门诊。关于老年人早期睾丸精原细胞瘤发生频率和结果的基于人群的研究很少。案例研究可能有助于了解这种情况。

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