A late manifestation of testicular seminoma in the bladder in a renal transplant recipient: a case report.
An unusual case is presented of a renal transplant recipient on immunosuppressive medication who underwent orchiectomy for a testicular seminoma. Since the surgical resection plane showed seminoma cells, radiotherapy was applied to the para-aortic and inguinal regions. Tumor recurred in the bladder 3 years later as demonstrated by urine cytology and later by bladder biopsies. After chemotherapy, repeated bladder biopsies were normal and a complete remission was achieved. The possible metastatic pathways are discussed.
Viddeleer
A C
AC
Department of Urology, State University Hospital Leiden, The Netherlands.
Lycklama à Nijeholt
G A
GA
Beekhuis-Brussee
J A
JA
D000328:Adult; D004407:Dysgerminoma / Q000473:pathology / Q000556:secondary* / Q000628:therapy; D006801:Humans; D007165:Immunosuppression Therapy; D016030:Kidney Transplantation; D008297:Male; D009919:Orchiectomy; D013736:Testicular Neoplasms / Q000473:pathology* / Q000628:therapy; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000556:secondary*