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A Case of Cranial and Intracranial Metastasis from Testicular Seminoma Ken KAMIYA 1 , Nobuko YAMASHITA 1 , Hajime NAGAI 1 , Ikuo MISAWA 2 1Nagoya City University, Department of Neurosurgery 2Nagoya Moriyama General Hospital Keyword: Seminoma , Cranial metastasis , Intracranial metastasis pp.63-67
Published Date 1991/1/10
DOI https://doi.org/10.11477/mf.1436900199
  • Abstract
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The case presented is of a 44-year-old man with skull and intracranial metastasis of seminoma. He was oper-ated on for a testicular tumor at 41 years of age. Patho-logically, it was pure seminoma. Coronal CT scan showed tumor invasion of the subcutaneous vault, and of the epidural and intraparenchymal region of the right parietal region. We treated him with a combina-tion of surgical excision, radiation and PVB chemother-apy. He was neurologically disease-free for ten months after being discharged. However, he then succumbed to liver metastasis of seminoma. Seminoma mainly meta-stasizes via the lymph stream. CNS metastasis of semi-noma is only 0.7% in Japan. We would like to stress that prophylactic chemotherapy would be essential even after patients get remission from CNS metastasis of seminoma.


Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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