tailieunhanh - Báo cáo y học: " Osteolytic bone destruction resulting from relapse of a testicular tumour 23 years after inguinal orchiectomy and adjuvant chemotherapy: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:Osteolytic bone destruction resulting from relapse of a testicular tumour 23 years after inguinal orchiectomy and adjuvant chemotherapy: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Osteolytic bone destruction resulting from relapse of a testicular tumour 23 years after inguinal orchiectomy and adjuvant chemotherapy a case report Christos Kalaitzis Athanasios Bantis Georgios Tsakaldimis Stylianos Giannakopoulos Efthimios Sivridis and Stavros Touloupidis Address Department of Urology Democritus University of Thrace Alexandroupolis Greece Email CK - chkalaitzis@ AB - bantis68@ GT - SG - stgian@ ES - esivrid@ ST - stouloup@ Corresponding author Received 22 September 2008 Accepted 8 May 2009 Published 31 July 2009 Journal ofMedical Case Reports 2009 3 8702 doi 1752-1947-3-8702 This article is available from http jmedicalcasereports article view 8702 2009 Kalaitzis et al. licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Late relapse of a testicular germ cell tumour is an uncommon occurrence. We report a case of osteolytic bone metastasis appearing 23 years after the initial treatment of a metastatic testicular mixed tumour choriocarcinoma and embryonal carcinoma . This is one of the longest periods of recurrence reported for testicular germ cell tumours. Case presentation A 52-year-old Caucasian man who underwent a right inguinal orchiectomy due to testicular tumour in 1984 presented to our outpatient clinic in a generally bad condition of health and with severe pain of his right hip joint and os ischii caused by osteolytic metastasis. Conclusions This case emphasizes the need for a life-long follow-up of patients with primary metastatic testicular cancer. Introduction The prognosis of malignant testicular tumour has .