Embryonal carcinoma of the testis associated with prostate cancer in a 72-year-old man

A 72‐year‐old Japanese man presented with a painless swollen left scrotal mass with elevated levels of serum α‐fetoprotein and prostate specific antigen. The patient underwent high orchiectomy under diagnosis and a final pathological examination revealed embryonal carcinoma of the left testis. A sys...

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Bibliographic Details
Published in:International journal of urology 2001-12, Vol.8 (12), p.719-721
Main Authors: GOHJI, KAZUO, WATSUJI, TOSHIKAZU, UBAI, TAKANOBU, UEDA, HARUHIKO, KATSUOKA, YOJI
Format: Article
Language:English
Subjects:
Aged
Carcinoma, Embryonal - drug therapy
Carcinoma, Embryonal - secondary
embryonal cancer
Gonadotropin-Releasing Hormone - therapeutic use
Humans
Lymphatic Metastasis
Male
old man
Orchiectomy
prostate cancer
Prostate-Specific Antigen
Prostatic Neoplasms - drug therapy
Prostatic Neoplasms - secondary
Testicular Neoplasms - pathology
testis
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Summary:A 72‐year‐old Japanese man presented with a painless swollen left scrotal mass with elevated levels of serum α‐fetoprotein and prostate specific antigen. The patient underwent high orchiectomy under diagnosis and a final pathological examination revealed embryonal carcinoma of the left testis. A systematic needle prostate biopsy under guidance of transrectal ultrasound revealed prostate cancer (Gleason score, 8) on the left lobe (T2aN0M0). Systemic chemotherapy was given for retroperitoneal lymph node metastasis of testicular cancer and hormonal therapy (LH‐RH analog) was given for prostate cancer. The patient was well with no evidence of metastasis from the testicular cancer or prostate cancer and with no elevation of serum α‐fetoprotein or prostate specific antigen 26 months after the orchiectomy.
ISSN:0919-8172
1442-2042
DOI:10.1046/j.1442-2042.2001.00400.x