Spermatocytic Seminoma With Sarcoma: An Indication for Adjuvant Chemotherapy in Localized Disease
Wetherell David, Lawrentschuk Nathan, Gyomber Dennis V,
소속 상세정보
( Wetherell David )
Australia University of Melbourne Austin Hospital Department of Urology
( Lawrentschuk Nathan )
Australia University of Melbourne Austin Hospital Department of Urology
( Gyomber Dennis V )
Australia University of Melbourne Austin Hospital Department of Urology
KMID : 0358320130540120884
Abstract
Spermatocytic seminoma (SCS) with sarcoma is an extremely rare testicular tumor with only 11 cases previously described in the literature. We present the 12th case of SCS with sarcoma in a 29-year-old male. SCS itself is an uncommon germ cell tumor with a relatively indolent clinical course that mostly affects males around the fifth decade of life. Sarcomatous differentiation of SCS occurs in 5% to 6% of cases and correlates with a higher possibility of metastatic disease and a poor prognosis. Clinically, this tumor manifests as a slow-growing testicular mass often with an accelerated period of secondary growth. After a concise review of the literature, we conclude that SCS with sarcoma should be treated by radical inguinal orchidectomy with strong consideration given to adjuvant chemotherapy.
키워드
Orchiectomy; Sarcoma; Seminoma; Testicular neoplasms; Testis
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