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A case of metachronous bilateral testicular tumor treated by partial orchiectomy and local radiation Tadashi Tabei 1 , Minoru Yoshida 1 , Hideki Oouchi 1 , Yutaka Suwa 2 1Department of Urology, Fujisawa-Shonandai Hospital, Kanagawa, Japan 2Shonan Suwa Clinic Keyword: 両側精巣腫瘍 , 放射線治療 , 手術 pp.979-982
Published Date 2013/11/20
DOI https://doi.org/10.11477/mf.1413103366
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A 35-year-old man, with a history of right orchiectomy for stage Ⅰ seminoma 2 years ago, found the induration at his left scrotum. MRI showed a tumor 20 mm in diameter within the left testis. Partial orchiectomy and biopsy of the tumor bed were performed. The pathological finding of the tumor was pure seminoma, and carcinoma in situ of tumor bed. We recommended inguinal orchiectomy or chemotherapy or local radiation as an additional therapy. Since he had already two children, he selected to preserve serum testosterone level, but not the fertility. He received local radiation with 20 Gy. Although he became infertile due to local radiation therapy, he is alive without recurrence for 6 years after surgery, and does not need androgen substitution.


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

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