A CASE OF NON-SEMINOMATOUS GERM CELL TUMOR (NSGCT) WITH KLINEFELTER'S SYNDROME
-
- HAYASHI Yasufumi
- Department of Surgery I, Kanagawa Prefectual Cancer Center
-
- TAJIRI Michihiko
- Department of Surgery I, Kanagawa Prefectual Cancer Center
-
- YAMAGATA Tatsushi
- Department of Surgery I, Kanagawa Prefectual Cancer Center
-
- ISHII Haruhiko
- Department of Surgery I, Kanagawa Prefectual Cancer Center
-
- SAKAMOTO Kazuhiro
- Department of Surgery I, Kanagawa Prefectual Cancer Center
-
- ISHIBASHI Makoto
- Department of Surgery I, Kanagawa Prefectual Cancer Center
Bibliographic Information
- Other Title
-
- Klinefelter症候群を合併した縦隔非精上皮腫性胚細胞性腫瘍の1例
Search this article
Abstract
A 16-year-old man was admitted to the hospital because of an abnormal shadow on a chest X-ray. A chest CT demonstrated an anterior mediastinal tumor. Serum AFP was high, serum hCG was within normal limit, and sex item showed Klinefelter's syndrome (XXY). No abnormality was revealed in the gonad and retroperitoneum, and the tumor was thought to arise in the mediastinum. Atelectasis of the right middle lobe was noted, but there was no invasion into the surrounding organs nor metastasis to the lung on preoperative imagings. So an operation was precedently performed. Operative procedures included an extirpation of the tumor with lymph node dissection according to extended total thymectomy. After the operation the patient was added two courses of chemotherapy with CBDCA, etoposide and bleomycin, by mesuring serum AFP as an index. There has been no sign of recurrence, as of five years after the operation.<br> We think that a mediastinal tumor with either high serum AFP or serum hCG can be definitely diagnosed as NSGCT and we should employ chemotherapy as the treatment of first choice.<br> However, there are some cases in which a resection of the tumor is permitted to precede chemotherapy like this case.
Journal
-
- The journal of the Japanese Practical Surgeon Society
-
The journal of the Japanese Practical Surgeon Society 57 (12), 2968-2973, 1996
Japan Surgical Association
- Tweet
Keywords
Details 詳細情報について
-
- CRID
- 1390001205315324288
-
- NII Article ID
- 130003599902
- 10008525502
-
- NII Book ID
- AN00198696
-
- ISSN
- 21892075
- 03869776
-
- Data Source
-
- JaLC
- Crossref
- CiNii Articles
-
- Abstract License Flag
- Disallowed