Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Pulmonary Metastasectomy from Testicular Germ Cell Tumor - A case report-

고환에서 발생한 종자세포암의 폐전이 절제 - 1예 보고 -

  • Cho, Jun-Woo (Department of Thoracic and Cardiovascular Surgery, Daegu Catholic Medical Center) ;
  • Park, Ki-Sung (Department of Thoracic and Cardiovascular Surgery, Daegu Catholic Medical Center)
  • 조준우 (대구카톨릭대학교병원 흉부외과) ;
  • 박기성 (대구카톨릭대학교병원 흉부외과)
  • Received : 2010.08.13
  • Accepted : 2010.11.12
  • Published : 2010.12.05
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Abstract

This is a report of successful management for pulmonary metastasis following chemotherapy in patient with testicular germ cell tumor. Postchemotherapy PET-CT was not uptake FDG in metastatic lesion. Pulmonary metastasectomy was performed, which is important to manage a residual postchemotherapy lung mass in testicular germ cell tumor for histological correlation with primary testicular lesion to select the patients who require subsequent chemotherapy. Our patient was well 6 months after operation, not carried out chemotherapy because of no viable tumor.

이 보고는 고환종자세포암 치료 후 폐전이를 폐절제술을 시행하여 성공적으로 치료한 증례이다. 항암치료 후 양전자방출단층촬영상 FDG의 유의한 섭취는 없었고 잔존종양을 원발 병소와 조직학적 비교를 위해 전이암을 제거하였다. 본 증례는 잔존종양에 생존세포가 관찰되지 않아 부가적인 항암치료는 시행하지 않았으며, 현재 술 후 6개월로 현재 재발이나 합병증 없이 잘 지내고 있다.

Keywords

References

  1. Devesa SS, Blot WJ, Stone BJ, et al. Recent cancer trends in the United States. J Natl Cancer Inst 1995;2:970-3.
  2. Liu D, Abolhoda A, Burt ME, et al. Pulmonary metastasectomy for testicular germ cell tumors: a 28-year experience. Ann Thorac Surg 1998;66:1709-14. https://doi.org/10.1016/S0003-4975(98)00940-0
  3. Lee M, Hendrickson FR. Analysis of pattern of recurrence in non-seminomatous testicular tumor. Radiol 1978;127:775-7.
  4. Kato M, Ikeda Y, Namiki S, Saito S, Ito A, Arai Y. Spontaneous regression of pulmonary metastases from testicular embryonal carcinoma. Int J Urol 2008;15:265-6. https://doi.org/10.1111/j.1442-2042.2007.01969.x
  5. Pfannschmidt J, Zabeck H, Muley T, Dienemann H, Hoffmann H. Pulmonary metastasectomy following chemotherapy in patients with testicular tumors: experience in 52 patients. Thorac Cardiovasc Surg 2006;54:484-8. https://doi.org/10.1055/s-2006-924246
  6. Steyerberg EW, Keizer HJ, Zwartendijk J, et al. Prognosis after resection of residual masses following chemotherapy for metastatic nonseminomatous testicular cancer: a multivariate analysis. Br J Cancer1993;68:195-200. https://doi.org/10.1038/bjc.1993.313
  7. Stephens AW, Gonin R, Hutchins GD, Einhorn LH. Positron Emmission tomogtaphy evaluation of residual radiographic abnormalitiesin postchemotherapy germ cell tumor patients. J Clin Oncol 1996;14:1637-41.
  8. Ahmed T, Bosl GJ, Hajdu SI. Teratoma with malignant transformation in germ cell tumors in men. Cancer 1985;56: 860-3. https://doi.org/10.1002/1097-0142(19850815)56:4<860::AID-CNCR2820560426>3.0.CO;2-3