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ISSN 2305-7939 (Electronic)

2022, Number 2

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RCU 2022; 11 (2)

Testicular tumor with brain metastases

Alarcón SJF, Escobar CAN, Granda GDF

Language: Spanish
References: 14
Page: 57-63
PDF size: 301.39 Kb.


ABSTRACT

Testicular cancer is the most common malignancy in men between the ages from 15 to 35. Brain metastases occur in less than 2%-3%, but imply poor prognosis. The objective of this article is to highlight the importance of considering brain metastases for the management of these cases. A 34-year-old male patient who went to the Emergency Room due to an increase in the right testicular size, adynamia, malaise, headache, nausea and vomiting. Physical examination showed testicle increased in volume and consistency. The images reported lesions suggestive to testicular tumor and brain metastases. Radical orchiectomy and radiotherapy were performed. Histopathology confirmed the presence of mixed germ cell tumor, with classic seminoma (60%) and embryonal carcinoma (40%). The patient died after the second fraction of radiotherapy, with severe convulsive symptoms. The timely diagnosis of the testicular tumor and its metastases make possible an adequate treatment, which will have an impact on the morbidity and mortality of patients.


REFERENCES

  1. Solís W, Ávila S, Benjamín S. Cáncer de testículo: revisión bibliográfica. Rev Cl E Med UCR. 2016 [acceso17/03/2022];6(III):11-5. Disponible en: http://www.medigraphic.com/pdfs/revcliescmed/ucr-

  2. 2016/ucr163a.pdf2. Adra N, Einhorn L. Testicular cancer update. Clin Adv Hematol Oncol. 2017 [acceso 17/03/2022];15(5):386-96.Disponible en: http://www.hematologyandoncology.net/archives/may-2017/testicular-cancer-update/

  3. Correa J, Velásquez D, Ramiro A, Toro L, Martínez H, Yepes A. Guía colombiana de cáncer de testículo. RevColomb Urol. 2016 [acceso 17/03/2022];25(3):274-85. Disponible en: https://www.elsevier.es/es-revistaurologia-colombiana-398-articulo-guia-colombiana-cancer-testiculo-S0120789X16300685

  4. Imamoglu G, Sandikci F, Baylan B, Cimen S, Han U, Cimen S, et al. Bilateral intra-abdominal testicular tumor:Case report. Int J Surg Case Rep. 2018 [acceso 17/03/2022];49:102-5. DOI:https://doi.org/10.1016/j.ijscr.2018.06.027

  5. Garrido C, Campos J, Bravo E, Diaz C, López J, Mendoza L. Tumores testiculares: 10 años de experiencia en unhospital de tercer nivel. Rev Mex Urol. 2017 [acceso 17/03/2022];77(5):346-52. Disponible en:http://www.medigraphic.com/pdfs/uro/ur-2017/ur175b.pdf

  6. Honecker F, Aparicio J, Berney D, Beyer J, Bokemeyer C, Cathomas R, et al. ESMO consensus conference ontesticular germ cell cancer: Diagnosis, treatment and follow-up. Ann Oncol. 2018 [acceso17/03/2022];29:1658-86. Disponible en: https://www.annalsofoncology.org/article/S0923-7534(19)34133-X/pdf

  7. León M, Pérez D, Benito J. Principales complicaciones neurológicas de los cánceres nefrourológicos. RevNeurol. 2018 [acceso 17/03/2022];67(11):441-52. Disponible en:https://www.neurologia.com/articulo/2018221/esp

  8. Rodríguez J. Cáncer de testículo. SEOM. Madrid. 2020 [acceso 17/03/2022]. Disponible en:https://seom.org/info-sobre-el-cancer/testiculo?showall=1

  9. Stephenson A, Eggener S, Bass E, Chelnik E, Daneshmand S, Feldman D, et al. Diagnosis and treatment of earlystage testicular cancer: AUA guideline. J Urol. 2019 [acceso 17/03/2022];202(2):272-81. Disponible en:https://www.auanet.org/guidelines/testicular-cancer-guideline

  10. Bathala T, Chen A, Choi S, Corn P, Fleckenstein O, Hoffman K, et al. Testicular cancer. MD Anderson cancercenter. Houston. 2022 [acceso 17/03/2022]. Disponible en:https://www.mdanderson.org/content/dam/mdanderson/documents/for-physicians/algorithms/cancertreatment/ca-treatment-testicular-web-algorithm.pdf

  11. Laguna M, Albers P, Algaba F, Bokemeyer C, Boormans J, di Nardo D, et al. Testicular Cancer. EuropeanAssociation of Urology. 2022 [acceso 17/03/2022]. Disponible en: https://uroweb.org/guideline/testicularcancer/

  12. Payandeh M, Amirifard N, Sadeghi E, Sadeghi M. Clinicopathology illustration treatment options and survivalin the patients with testicular germ cell tumors in Kermanshah Province, Iran. Int J Cancer Manag. 2017[acceso 17/03/2022];10(5):e4039. Disponible en: https://brief.land/ijcm/articles/4039.html

  13. Marín A, Renner A, Itriago L, Álvarez M. Metástasis cerebrales: una mirada biológica y clínica. Rev Med ClinCondes. 2017 [acceso 17/03/2022];28(3):437-49. Disponible en: https://www.elsevier.es/es-revista-revistamedica-clinica-las-condes-202-pdf-S071686401730069X

  14. Pinto A, Silva S, Carneiro E, Ferreira D, Maurício J, Arantes M. Imaging features of brain metastases fromtesticular cancer. Porto Biomed J. 2015 [acceso 17/03/2022];2(5):223-4. Disponible en:https://www.elsevier.es/en-revista-porto-biomedical-journal-445-articulo-imaging-features-brainmetastases-from-S2444866417302453




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