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A seminoma which was able to completely resect residual tumor post chemotherapy with aortic resection and replacement Takayuki Nasu 1 , Wataru Obara 1 , Karen Kato 1 , Jun Sugimura 1 , Tomoaki Fujioka 1 , Takayuki Nakajima 2 1Department of Urology,Iwate Medical University School of Medicine 2Third Department of Surgery,Iwate Medical University School of Medicine Keyword: セミノーマ , 大動脈 , 救済外科療法 pp.839-842
Published Date 2006/10/20
DOI https://doi.org/10.11477/mf.1413100749
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A 37 years old man was admitted to our department because of seminoma diagnosed by needle biopsy for a huge abdominal mass. Left orchiectomy was performed as his left testis was hard,which was pathologically seminoma. Under the clinical diagnosis of StageⅡB seminoma,he received seven cycle chemotherapy. Because of normalization of tumor marker,he underwent resection of retroperitoneal residual mass in the size of 6.4×2.8cm,together with abdominal aorta and replacement of an artificial blood vessel. Pathological examination revealed no viable cell within resected mass. The postoperative course was uneventful without recurrence for eleven months after the operation. To our knowledge,this case seems the second case of the testicular tumor with resection of residual mass and aortic replacement after chemotherapy in Japan.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1332 印刷版ISSN 0385-2393 医学書院

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