[Giant testicular tumor associated with scrotal gangrene: a case report].
A case of giant testicular tumor associated with scrotal gangrene is reported. A 33-year-old man had a swollen scrotum (15 cm) accompanied with necrosis and a foulodor. The tumor had invaded the scrotum, perineum and the left spermatic cord. Serum alpha-fetoprotein level was 15,487 ng/ml. The chest radiograph revealed multiple metastases. Bilateral high orchiectomies and local resection with a wide margin were performed. The tumor weighed 2.5 kg and the histopathological diagnosis was teratocarcinoma. He was treated with 3 courses of chemotherapy with cisplatin, etoposide and peplomycin. A second-look surgery revealed no viable cancer cells in the residual masses. The patient has been free of recurrence 4 months postoperatively.
Hyouchi
N
N
Department of Urology, Saitama Medical Center, Saitama Medical School.
Yamada
T
T
Takeuchi
S
S
Machida
T
T
Kanou
H
H
Tanizawa
A
A
Fukuda
H
H
Kamata
S
S
Saitoh
H
H
D000328:Adult; D005734:Gangrene; D005832:Genital Diseases, Male / Q000150:complications* / Q000473:pathology; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D009362:Neoplasm Metastasis; D012611:Scrotum / Q000473:pathology*; D018243:Teratocarcinoma / Q000150:complications* / Q000556:secondary; D013736:Testicular Neoplasms / Q000150:complications* / Q000473:pathology