Hernia uteri inguinalisを合併し興味ある経過を示した睾丸腫瘍の1例

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A twenty five-year-old man visited our hospital with chief complaints of lower abdominal tumor and dysuria. Three years ago, he had had an operation for his lower abdominal tumor, and postoperative diagnosis was dysgerminoma. Retrovesical tumor was suspected and several examinations were performed such as urethrography, excretory urography, pelvic angiography, computed tomography, needle biopsy of the lower abdominal tumor and seminal vesiculography. By the needle biopsy of the lower abdominal tumor, pathological diagnosis of "seminoma" was obtained but pathological diagnosis of 3 years ago was embryonal carcinoma with seminoma. The lower abdominal tumor was assumed to be recurrent testicular tumor (seminoma). Radiation therapy was started to the lower abdominal portion and paraaortic portion, total dose being 4600 rads. The effect of the radiation therapy was observed in the tumor size and findings of urethrogram. One month after radiation therapy, lower abdominal tumor mass disappeared and urethrogram was within normal. A mullerian duct was found by seminal vesiculography and confirmed by the histological examination of postoperative specimens. This is a case of a recurrent testicular tumor (seminoma) with hernia uteri inguinalis. The patient is under a pertinent follow-up observation.
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