Hinyokika kiyo. Acta urologica Japonica
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Review Case Reports
[A case of metachronous testicular tumor developing seven years after complete remission of retroperitoneal extragonadal germ cell tumor].
A 26-year-old man was admitted to our hospital with a chief complaint of left cervical lymphadenopathy. He was diagnosed as having seminoma by needle biopsy. Computed tomography revealed an aorto-caval retroperitoneal tumor. ⋯ Neither distant metastasis nor lymph node metastasis was detected by computed tomography. Right radical orchiectomy was performed and histology revealed seminoma with yolk sac tumor components. No recurrence has been seen after 10 months.
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Case Reports
[Adrenocortical carcinoma with intratumoral hemorrhage detected from chest and back pain: a case report].
A 55-year-old man visited our hospital with left chest and back pain. Computed tomography (CT) showed left retroperitoneal tumor, which was 6 cm in diameter with intratumoral hemorrhage. Based on abdominal CT, magnetic resonance imaging and blood tests, preoperative diagnosis was adrenocortical carcinoma. ⋯ He rejected adjuvant therapy with mitotane. Bone and liver metastases were recognized 2 months after operation. The patient died three months after operation because of disease progression.