[Intra-Abdominal Germ Cell Tumor in Persistent Mullerian Duct Syndrome].
A 46-year-old man was admitted to hospital presenting with a lower abdominal mass. The patient's testes were not palpable in the scrotum, and the levels of lactic dehydrogenase, α-fetoprotein and human chorionic gonadotropin were all elevated. Enhanced computed tomography revealed that the lumen of the mass had penetrated the prostate. Pathological analysis of biopsy tissue indicated that the mass was a seminoma. Residual tumor resection was performed after chemotherapy. On histological examination, the lumen proved to be a Mullerian structure. Our diagnosis was an intra-abdominal germ cell tumor and persistent Mullerian duct syndrome.
The Department of Urology, Grace Foundation Osaka Saiseikai Noe Hospital.
Takao
T
Mishima
The Department of Urology, Grace Foundation Osaka Saiseikai Noe Hospital.
Jiro
J
Harada
The Department of Urology, Grace Foundation Osaka Saiseikai Noe Hospital.
Gen
G
Kawa
The Department of Pathological Examination, Grace Foundation Osaka Saiseikai Noe Hospital.
Takanori
T
Sakurai
The Department of Urology, Kobe City Medical Center General Hospital.
Takuya
T
Okada
D058490:Disorder of Sex Development, 46,XY / Q000150:complications*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D064847:Multimodal Imaging; D009373:Neoplasms, Germ Cell and Embryonal / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome