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- Title
Delayed medical presentation causes a giant development of a testicular case report.
- Authors
Chira, I.; Chirca, N.; Botea, M.; Predoiu, G.; Mitrache, L.; Budau, M.; Persu, C.; Jinga, V.
- Abstract
Introduction and Objectives. Testicular cancer is one of the most curable malignancies due to the last advances in diagnosis and treatment, but late diagnosis remains a serious problem. Materials and Methods. We present a case of a 44-year-old man who presented in our clinic with a giant testicular tumor, measuring about 40 cm in diameter, extended to the scrotum. Preoperative investigations revealed tumor markers highly elevated and an enormous tumor mass extended from the right testicle, enlarged pelvic and inguinal lymphatic nodes, bilateral femoral bone metastases and also bilateral pulmonary metastases. Results. Bilateral inguinal orchiectomy and local resection with a wide margin was performed followed by chemotherapy courses and after three months tumor markers decreased to normal and the CT exam revealed a reduction in size of secondary tumors. A review of the literature showed that this form of presentation is rare, the case being impressive by the size of the tumor.
- Subjects
TESTICULAR cancer treatment; CANCER chemotherapy; COMPUTED tomography
- Publication
Romanian Journal of Urology, 2017, Vol 16, Issue 4, p44
- ISSN
1223-0650
- Publication type
Article