Testicular Teratocarcinoma：A Case Report

睪丸畸胎癌：個案報告

林德茂(Ta-Mau Lin) ； 郭俊逸(Junne-Yih Kuo) ； 潘競成(Chin Chen Pan) ； 陳光國(Kuang-Kuo Chen)

《臺灣泌尿科醫學會雜誌》 13卷3期 (2002/09) Pp. 129-132

摘要

我們報告一睪丸畸胎癌合併原位癌案例，病患因右睪丸摸到腫塊，經泌尿科門診抽血檢查發現胎兒蛋白指數偏高，超音波顯示有右睪丸腫瘤、胸部X光及腹部電腦斷層顯示無轉移現象，病患接受右睪丸根除性切除手術。病理報告為右睪丸畸胎癌合併生精小管內原位癌。三個月後病患在泌尿科門診追蹤時，腹部電腦斷層顯示後腹腔有轉移性腫塊。病患又再次接受改良性右側後腹腔淋巴腺清除術。病理報告為睪丸胚胎癌第二期。我們探討睪丸畸胎癌合併生精小管內原位癌的相關事宜。

關鍵字

睪丸畸胎癌 ； 睪丸胚胎癌

並列摘要

We report on a 28-year-old man presenting with right testicular teratocarcinoma and intratubular germ cell neoplasia (IGCN). Clinically he had a palpable right testicular mass with elevated serum alpha-fetoprotein (AFP). Sonography showed a right testicular mass. Chest x-ray and abdominal computed tomography (CT) revealed no abnormal findings. Under an impression of a clinical stage I testicular tumor, the patient received a right radical orchiectomy. The pathology report showed teratocarcinoma and IGCN. However 3 months later at outpatient follow-up, abdominal CT revealed an enlarged retroperitoneal mass of 2 cm in diameter near the inferior mesenteric artery. Under an impression of metastatic teratocarcinoma, the patient again received modified right retroperitoneal lymph node dissection (RPLND). The pathology report showed metastatic embryonal carcinoma stage pTIIa. The management of testicular teratocarcinoma with IGCN is subsequently discussed.

並列關鍵字

teratocarcinoma ； embryonal carcinoma