Very Late Relapse of Testicular Tumour in Combination with Renal Cancer and Their Retroperitoneoscopic Removal

Late relapse of a testicular cancer is an uncommon occurrence. We report a case of late relapse of a testicular tumour combined with a renal cancer and their successful removal with retroperitoneoscopy. The 36-year-old patient underwent left orchiectomy, retroperitoneal lymph node dissection, and ch...

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Main Authors: Mihály Murányi, Morshed Ali Salah, Béla Tállai, Mátyás Benyó, Tibor Flaskó
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2011/164070
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author Mihály Murányi
Morshed Ali Salah
Béla Tállai
Mátyás Benyó
Tibor Flaskó
author_facet Mihály Murányi
Morshed Ali Salah
Béla Tállai
Mátyás Benyó
Tibor Flaskó
author_sort Mihály Murányi
collection DOAJ
description Late relapse of a testicular cancer is an uncommon occurrence. We report a case of late relapse of a testicular tumour combined with a renal cancer and their successful removal with retroperitoneoscopy. The 36-year-old patient underwent left orchiectomy, retroperitoneal lymph node dissection, and chemotherapy, because of mixed tumor including teratoma and embryonal carcinoma. 18 years after the successful primary therapy elevated serum alpha-fetoprotein level had been confirmed, then MRI and PET-CT scans demonstrated a 30 mm left renal mass and 22 mm retroperitoneal lymph node above the bifurcation of the left common iliac artery. We performed retroperitoneoscopic lymph node dissection and left renal tumour resection in the same session. The histology revealed embryonal carcinoma for the retroperitoneal lymph node and renal cell carcinoma for the left renal mass. We can conclude that late followup of patients with testicular tumour is important. Retroperitoneoscopy is feasible approach for the removal of retroperitoneal lymph node metastasis and resection of renal tumor.
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institution Kabale University
issn 1687-9627
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language English
publishDate 2011-01-01
publisher Wiley
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series Case Reports in Medicine
spelling doaj-art-9b6e02f704c446efbb6e2503228365f12025-02-03T05:58:51ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/164070164070Very Late Relapse of Testicular Tumour in Combination with Renal Cancer and Their Retroperitoneoscopic RemovalMihály Murányi0Morshed Ali Salah1Béla Tállai2Mátyás Benyó3Tibor Flaskó4Department of Urology, University of Debrecen Medical School and Health Science Center, Nagyerdei krt. 98, Debrecen 4032, HungaryDepartment of Urology, University of Debrecen Medical School and Health Science Center, Nagyerdei krt. 98, Debrecen 4032, HungaryDepartment of Urology, University of Debrecen Medical School and Health Science Center, Nagyerdei krt. 98, Debrecen 4032, HungaryDepartment of Urology, University of Debrecen Medical School and Health Science Center, Nagyerdei krt. 98, Debrecen 4032, HungaryDepartment of Urology, University of Debrecen Medical School and Health Science Center, Nagyerdei krt. 98, Debrecen 4032, HungaryLate relapse of a testicular cancer is an uncommon occurrence. We report a case of late relapse of a testicular tumour combined with a renal cancer and their successful removal with retroperitoneoscopy. The 36-year-old patient underwent left orchiectomy, retroperitoneal lymph node dissection, and chemotherapy, because of mixed tumor including teratoma and embryonal carcinoma. 18 years after the successful primary therapy elevated serum alpha-fetoprotein level had been confirmed, then MRI and PET-CT scans demonstrated a 30 mm left renal mass and 22 mm retroperitoneal lymph node above the bifurcation of the left common iliac artery. We performed retroperitoneoscopic lymph node dissection and left renal tumour resection in the same session. The histology revealed embryonal carcinoma for the retroperitoneal lymph node and renal cell carcinoma for the left renal mass. We can conclude that late followup of patients with testicular tumour is important. Retroperitoneoscopy is feasible approach for the removal of retroperitoneal lymph node metastasis and resection of renal tumor.http://dx.doi.org/10.1155/2011/164070
spellingShingle Mihály Murányi
Morshed Ali Salah
Béla Tállai
Mátyás Benyó
Tibor Flaskó
Very Late Relapse of Testicular Tumour in Combination with Renal Cancer and Their Retroperitoneoscopic Removal
Case Reports in Medicine
title Very Late Relapse of Testicular Tumour in Combination with Renal Cancer and Their Retroperitoneoscopic Removal
title_full Very Late Relapse of Testicular Tumour in Combination with Renal Cancer and Their Retroperitoneoscopic Removal
title_fullStr Very Late Relapse of Testicular Tumour in Combination with Renal Cancer and Their Retroperitoneoscopic Removal
title_full_unstemmed Very Late Relapse of Testicular Tumour in Combination with Renal Cancer and Their Retroperitoneoscopic Removal
title_short Very Late Relapse of Testicular Tumour in Combination with Renal Cancer and Their Retroperitoneoscopic Removal
title_sort very late relapse of testicular tumour in combination with renal cancer and their retroperitoneoscopic removal
url http://dx.doi.org/10.1155/2011/164070
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AT belatallai verylaterelapseoftesticulartumourincombinationwithrenalcancerandtheirretroperitoneoscopicremoval
AT matyasbenyo verylaterelapseoftesticulartumourincombinationwithrenalcancerandtheirretroperitoneoscopicremoval
AT tiborflasko verylaterelapseoftesticulartumourincombinationwithrenalcancerandtheirretroperitoneoscopicremoval