title: [Giant testicular tumor associated with scrotal gangrene: a case report].
abstract: 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.
authors.affiliation: Department of Urology, Saitama Medical Center, Saitama Medical School.
authors.forename: N
authors.initials: N
authors.lastname: Hyouchi
authors.forename: T
authors.initials: T
authors.lastname: Yamada
authors.forename: S
authors.initials: S
authors.lastname: Takeuchi
authors.forename: T
authors.initials: T
authors.lastname: Machida
authors.forename: H
authors.initials: H
authors.lastname: Kanou
authors.forename: A
authors.initials: A
authors.lastname: Tanizawa
authors.forename: H
authors.initials: H
authors.lastname: Fukuda
authors.forename: S
authors.initials: S
authors.lastname: Kamata
authors.forename: H
authors.initials: H
authors.lastname: Saitoh
mesh_terms: 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