title: Multidisciplinary treatment of advanced testicular tumor with bulky liver metastasis.
abstract: A 21-year-old man with far-advanced nonseminomatous germ cell tumor of the left testis is presented. He had multiple bulky metastases in the liver and retroperitoneum with an extraordinarily elevated serum alpha-fetoprotein (23,500 ng/ml). He received multidisciplinary treatment consisting of systemic chemotherapy, cytoreductive left hepatic lobectomy, percutaneous ablation therapy, transarterial chemoembolization, and external beam irradiation for median segments of the liver. The efficient combination treatment normalized the tumor markers within 6 months and has maintained complete serological remission for 4.7 years.
authors.affiliation: Department of Urology, Faculty of Medicine, University of Tokyo, Japan. MINOWADAS-URO@h.u-tokyo.ac.jp
authors.forename: S
authors.initials: S
authors.lastname: Minowada
authors.forename: Y
authors.initials: Y
authors.lastname: Okano
authors.forename: J
authors.initials: J
authors.lastname: Miyazaki
authors.forename: Y
authors.initials: Y
authors.lastname: Homma
authors.forename: T
authors.initials: T
authors.lastname: Kitamura
mesh_terms: D000328:Adult; D018236:Carcinoma, Embryonal / Q000473:pathology / Q000556:secondary*; D003131:Combined Modality Therapy; D018240:Endodermal Sinus Tumor / Q000473:pathology / Q000556:secondary*; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary* / Q000628:therapy*; D008297:Male; D009367:Neoplasm Staging; D009378:Neoplasms, Multiple Primary / Q000556:secondary*; D013724:Teratoma / Q000473:pathology / Q000556:secondary*; D013736:Testicular Neoplasms / Q000473:pathology*