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首页> 外文期刊>International journal of urology: official journal of the Japanese Urological Association >Successful cure of dermatomyositis after treatment of nonseminomatous testicular cancer.
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Successful cure of dermatomyositis after treatment of nonseminomatous testicular cancer.

机译：治疗非精原细胞睾丸癌后成功治愈皮肌炎。

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摘要

Although the association between dermatomyositis and cancer is well recognized, there have been a limited number of reports of dermatomyositis associated with testicular cancer. We report the case of a 31-year-old man who was diagnosed with dermatomyositis. Because the patient's serum levels of alpha-fetoprotein and human chorionic gonadotropin beta subunit were elevated, the patient was referred to our department. Physical examination revealed an induration (2 cm x 2 cm) in the left testis and the patient was diagnosed with stage IIIB left testicular cancer. A left high orchidectomy was then performed, and pathological examination revealed embryonal carcinoma. The patient was started on a systemic chemotherapeutic (etoposide, ifosfamide and cisplatin; VIP) regimen. After the third chemotherapy session, metastases had completely disappeared, the serum levels of alpha-fetoprotein and human chorionic gonadotropin beta subunit had normalized and the dermatomyositis symptoms had improved. Cancer is known to be a trigger of dermatomyositis. This case illustrates the importance of palpation of the testes in young patients with dermatomyositis.
机译：尽管皮肌炎与癌症之间的关联得到了公认，但有关睾丸癌的皮肌炎的报道却很少。我们报告了一名诊断为皮肌炎的31岁男子的病例。由于患者的血清甲胎蛋白和人绒毛膜促性腺激素β亚基水平升高，因此该患者被转诊至我科。体格检查显示左睾丸有硬结（2 cm x 2 cm），并且该患者被诊断患有IIIB期左睾丸癌。然后进行左高位兰花切除术，并且病理检查显示胚胎癌。患者开始接受全身化疗（依托泊苷，异环磷酰胺和顺铂; VIP）治疗。第三次化疗后，转移灶已完全消失，血清甲胎蛋白和绒毛膜促性腺激素β亚基恢复正常，皮肌炎症状得到改善。已知癌症是皮肌炎的诱因。该病例说明了在年轻的皮肌炎患者中触诊睾丸的重要性。

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