Metastatic Extra-gonadal Germ Cell Tumor Appearing as a Neck Mass

以頸部腫塊表現的轉移性生殖細胞癌

陳佩詩(Pei-Shih Chen) ； 呂宜興(Yi-Shing Leu) ； 黃志銘(Chih-Ming Huang) ； 林炯森(Johnson Lin) ； 陳瑜珍(Yu-Jan Chan)

《台灣癌症醫學雜誌》 26卷1期 (2010/02) Pp. 28-31

https://doi.org/10.6323/JoCRP.2010.26.1.4

摘要

Extragonadal choriocarcinoma usually presents in the midline of the body, such as the anterior mediastium, pineal gland, sacrococcygeal region and retroperitonium. Extragonadal choriocarcinoma may metastasize to retroperitoneal lymph node, lungs, liver, bone and brain. Metastasis to neck mass is exceedingly rare. We report a rare case of a 25-year-old male who had neck and intra-abdominal masses as the inintial manifestation of extragonadal choriocarcinoma. The patient received five courses chemotherapy of regimen EMA/CO and four courses of BEP. The patient was found with no evidence of disease progression or development of new symptoms in during follow-up.

關鍵字

頸部轉移 ； 絨毛膜癌 ； 性腺外生殖細胞瘤

並列摘要

Extragonadal choriocarcinoma usually presents in the midline of the body, such as the anterior mediastium, pineal gland, sacrococcygeal region and retroperitonium. Extragonadal choriocarcinoma may metastasize to retroperitoneal lymph node, lungs, liver, bone and brain. Metastasis to neck mass is exceedingly rare. We report a rare case of a 25-year-old male who had neck and intra-abdominal masses as the inintial manifestation of extragonadal choriocarcinoma. The patient received five courses chemotherapy of regimen EMA/CO and four courses of BEP. The patient was found with no evidence of disease progression or development of new symptoms in during follow-up.

並列關鍵字

cervical metastasis ； choriocarcinoma ； extragonadal germ cell tumor