We report a patient with seminoma which recurred as late relapse at the pelvis with elevated alphafetoprotein (AFP) levels. A 40-year-old man presented with a left testicular tumor and subsequently underwent high orchiectomy in 2006. Pathological findings showed that the tumor was a seminoma with invasion into the tunica albuginea (pT2N0M0). Seven years after surgery, computed tomography showed a 12×8.7 mm, well-circumscribed, pelvic cystic tumor, and AFP and human chorionic gonadotropin levels were elevated. He was clinically diagnosed with recurrent testicular cancer. Despite the fact that the patient had four courses of bleomycin, etoposide, and cisplatin (BEP), the tumor enlarged and AFP levels were still elevated. Therefore, we performed open excision of the pelvic tumor. Judging from the pathological report, we made the final diagnosis of mature cystic teratoma. The patient was free of recurrence or metastasis within 48 months of follow-up.
Hinyokika kiyo. Acta urologica Japonica. 2018 Mar [Epub]
Seiji Shimada, Hidefumi Kinoshita, Takashi Yoshida, Kenta Takayasu, Takao Mishima, Kenji Yoshida, Masaaki Yanishi, Hidekazu Inui, Motohiko Sugi, Tadashi Matsuda
The Department of Urology and Andrology, Kansai Medical University Hospital.