Malignant gonadal stromal tumor with bulky metastasis at diagnosis.

Abstract:

:A 63-year-old man underwent inguinal orchiectomy for painless enlargement of the left testis. The diagnosis of malignant gonadal stromal tumor was made on the basis of morphology and immunohistochemical studies. At computed tomography there was bulky retroperitoneal metastasis. The patient then underwent retroperitoneal lymphadenectomy and received 6 courses of platinum-based chemotherapy at the end of which complete response was documented. However, at 18 months' follow-up, computed tomography revealed recurrent retroperitoneal metastasis. The patient was put on chemotherapy regimen again. But he developed pulmonary metastasis and died 28 months after the initial diagnosis. The clinical course of this patient suggests that malignant gonadal stromal tumor, if metastatic at diagnosis, may have a poor prognosis against most aggressive treatment approaches.

journal_name

Urol Int

journal_title

Urologia internationalis

authors

Uygur MC,Gür E,Altug U,Ustün H,Emir L,Erol D

doi

10.1159/000283061

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

191-3

issue

3

eissn

0042-1138

issn

1423-0399

journal_volume

59

pub_type

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