Tumoare germinală testiculară nonseminomatoasă cu prognostic rezervat

Testicular cancer with normal tumor markers

ASYMPTOMATIC COMPLEX TESTICULAR NEOPLASIA ASSOCIATED WITH ORCHIEPIDIDYMITIS. CASE REPORT

His complaints have begun 6 months before the admission. After four courses of BEP bleomycin, etoposide and cisplatinorchiectomy was performed and the patient testicular cancer with normal tumor markers under surveillance in the oncology department.

Cauzele cancerului testicular [ modificare modificare sursă ] Cauza exactă a cancerului testicular este necunoscută. Factori susceptibili pot fi: - criptorhidia testicul necoborât în scrot -- în mod normal testiculele coboară în scrot în ajunul nașterii pruncului de gen masculin sau în primele 3 luni după naștere. Deși aceste condiții pot crește riscul pentru această boală, ele nu sunt obligatorii și nici nu stau la baza apariției majoritatății cancerelor testiculare.

The degree of AFP elevation in patients with non-seminomatous germ cell tumours NSGCT establishes the prognosis and is used to assign an appropriate chemotherapy regimen. Keywords mature teratoma, lung metastases, alpha 1-fetoprotein, multidisciplinary treatment Rezumat Prezentăm cazul unui pacient în vârstă de 37 de ani, fără an­te­cedente patologice semnificative, care s-a prezentat la camera de gardă cu dispnee şi durere toracică apărute după un episod de hemoptizie, la examinarea clinică prezentând o formaţiune palpabilă la nivelul testiculului stâng.

Simp­to­ma­tologia a în­ce­put în urmă cu şase luni.

Non-seminomatous germ cell testicular tumor with poor prognosis

După patru serii de BEP bleomycin, eto­po­side şi cisplatinse intervine chi­rur­gical, practicându-se or­hi­ec­tomie pe cale inghinală, ul­te­rior pacientul rămânând în ur­mă­rire în Departamentul de on­co­logie medicală. Creş­te­rea AFP la pacienţii cu tumori ger­mi­nale testiculare non­se­mi­no­ma­toa­se NSGCT are valoare prog­nos­tică şi este folosită pentru sta­bilirea unui tratament chimioterapic potrivit. Cuvinte cheie teratom matur metastaze pulmonare AFP tratament multidisciplinar Case presentation We present the case of a year-old man, in clinical state of health until 6 months before the admission, when he began to notice a left-sided testicular swelling, but with no associated pain at the time.

Возможно, что именно по этой причине она не пришлась бы по душе многим согражданам Олвина. Он запомнил имя художника и решил при первом же удобном случае побеседовать Все дороги Диаспара -- и движущиеся и неподвижные -- кончались у границ Парка, этого зеленого сердца города.

Здесь, на круговом пространстве диаметром более трех миль, жила память о том, чем была Земля в те дни, когда пустыня еще не поглотила, как теперь, поверхность планеты, обойдя лишь Диаспар. Сначала шел широкий пояс луга, затем -- низкорослые деревья, заросли которых становились все гуще и гуще по мере того, как гуляющий углублялся под их кроны. В то же время уровень Парка постепенно понижался, так что для testicular cancer with normal tumor markers, вышедшего из узкой волосы леса, город совершенно пропадал из виду, скрытый стеною деревьев.

The swelling progressed over the next few months, and was associated with dyspnea and chest pain. Also, he complained of weight loss about 10 kg in the past 6 months.

Testicular cancer is highly treatable, even when the cancer has spread beyond the testicle. If it is identified early, the chance for successful treatment of testicular cancer is highest. We will discuss in this article the main diagnostic means and treatment indications taking into account the stage and the Keywords: prognostic factors of disease. Sonoelastography is a new procedure which could help for diagnostic of disease.

He presented to the hospital in Augustafter one episode of haemoptysis, with severe dyspnea. He infezione da papilloma virus nelluomo one pack of cigarettes a day for 12 years, and he used to drink alcoholic beverages on weekends. His family testicular cancer with normal tumor markers revealed: the father with hypertension, and an uncle with type 2 diabetes.

The other examinations were normal.

  1. Нам всегда становится известно, что вагон пришел в движение.

  2. Человек отказался от Вселенной и вернулся в искусственное чрево Диаспара.

  3. Hpv genital virus

Laboratory tests at first admission CBC showed a haemoglobin of PT prothrombin time was The imagistic exams performed in Septemberchest X-ray and CT scan of the chest Figure 1 and Fi­gure 2showed multiple nodules with different sizes, and the probability of metastasis became propounded. Figure 1.

Tumoare germinală testiculară nonseminomatoasă cu prognostic rezervat

Chest X-ray: lung metastases Figure 2. Management: the therapeutic decision was planned by BEP bleomycin, etoposide and cisplatin as classic five-day protocol.

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After four cycles of BEP, the level of serum tumor markers reached the normal value, and we decided to perform a left orchiectomy, that had no intra- or postoperative complications. The histopathologic examination showed mature teratoma inflitrative to the tunica albuginea and spermatic cord; the spermatic cord lymph node showed also mature teratoma, with pT3 pN2 stage stadialization. Tabel 1.

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Therefore, the decission was to start chemotherapy. In Marchthe check-up PET-CT showed once again activity in his lungs metastases, and also active metabolic lymph nodes latero-tracheal, hilar lymph nodeswith no other sites involvment.

At this moment, our patient is at his fourth cycle of chemotherapy since we restarted.

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This distinction guides the clinician in both prognosis and treatment strategies. Positron-emission thomography scan can also be used to highlight the hypermetabolic lymph node metastases. M1a — Non-regional nodal or pulmonary metastasis.

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  • Твое обращение включает две проблемы, - ответил Компьютер.

The patient is a unique case, showing a special significance and connection between AFP serum level, PET-CT hypermetabolic lymph nodes and the respose to chemotherapy. We are also looking further for new molecular targeted therapies with a good response in the treatment of germ cell tumors of patients with recurrence after salvage chemotherapy.

Cancerul testicular

Conflict of interests: The author declares no conflict of interests. Alpha-foetoprotein heterogeneity: what is its value in managing patients with germ cell tumours?.

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Clin Oncol R Coll Radiol. J Clin Oncol. De Vita et al.

  • Cancerul testicular - Wikipedia
  • Глядя вниз со своего места далеко наверху на этот огромный овал, Олвин не мог не подумать о Шалмирейне.

  • Среди деревьев редко встречались одинаковые; большинство находилось на разных стадиях одичания, а некоторые в течение долгих веков успели окончательно вернуться к первичным формам, заданным природой.

  • Нашему опекунству теперь пришел срок и ты отныне волен жить, как тебе заблагорассудится.

Cancers of the Genitourinary System. LWW Health Library.

Testicular Cancer: Signs, Symptoms and Self-Exams