[Metachronous Bilateral Testicular Tumors with Frequently Recurrent Hydrocele : A Case Report].
We report a case of metachronous bilateral testicular tumors combined with hydrocele. A 46-year-old male presented with frequently recurrent left hydrocele. His medical history included a stage IIA right testicular tumor,which had been treated with right high orchiectomy and retroperitoneal lymph node dissection 22 years ago. Magnetic resonance imaging (MRI) showed hydrocele and a low intensity area in the left testis,and the patient underwent left high orchiectomy. After cytological examination of the hydrocele it was categorized as class V,and after a pathological study it was diagnosed as seminoma and embryonal carcinoma. Since postoperative computed tomography showed lung metastasis,treatment with bleomycin,etoposide,and cisplatin (BEP) was indicated. Three courses of BEP produced a complete response. No recurrent testicular tumor was seen at 3 months after the BEP therapy. A metachronous testicular tumor should be considered in patients with a history of testicular tumors who frequently develop recurrent hydrocele.
The Department of Urology, Hitachi General Hospital.
Satoshi
S
Nitta
The Department of Urology, Hitachi General Hospital.
Shotaro
S
Sakka
The Department of Urology, Hitachi General Hospital.
Tsuyoshi
T
Endo
The Department of Urology, Hitachi General Hospital.
Manabu
M
Komine
The Department of Diagnostic Pathology, Hitachi General Hospital.
Akiko
A
Sakata
The Department of Urology, Hitachi General Hospital.
Masakazu
M
Tsutsumi
The Department of Urology, Faculty of Medicine, University of Tsukuba.
Koji
K
Kawai
The Department of Urology, Faculty of Medicine, University of Tsukuba.
Hiroyuki
H
Nishiyama
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009919:Orchiectomy; D012008:Recurrence; D006848:Testicular Hydrocele / Q000150:complications / Q000601:surgery*; D013736:Testicular Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000601:surgery