Pure Stage I Seminoma with an Elevated hCG of 25,265 mIU/ml: A Case Report
We report a histologically pure stage 1 seminoma with an elevated human chorionic gonadotropin (hCG). A 38 year-old man was referred for the evaluation of the left testicular swelling. He showed an elevated serum hCG level of 25,265 mIU/ml with normal a fetoprotein and lactate dehydrogenase. Imaging...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2016-11-01
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| Series: | Urology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442016301012 |
| _version_ | 1818033608368062464 |
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| author | Hiromichi Katayama Hiroshi Aoki Katsuyuki Taguchi Yuu Sakurada Tomonori Sato Masahiro Takahashi Rie Shibuya Hiroshi Naganuma Shigeto Ishidoya |
| author_facet | Hiromichi Katayama Hiroshi Aoki Katsuyuki Taguchi Yuu Sakurada Tomonori Sato Masahiro Takahashi Rie Shibuya Hiroshi Naganuma Shigeto Ishidoya |
| author_sort | Hiromichi Katayama |
| collection | DOAJ |
| description | We report a histologically pure stage 1 seminoma with an elevated human chorionic gonadotropin (hCG). A 38 year-old man was referred for the evaluation of the left testicular swelling. He showed an elevated serum hCG level of 25,265 mIU/ml with normal a fetoprotein and lactate dehydrogenase. Imaging showed heterogeneous tumor without any metastatic lesions. We conducted 4 courses of chemotherapy before detecting hCG nadir. The final pathological report showed pure seminoma with syncytiotrophoblastic cells but no choriocarcinoma components. The patient remains disease free until present time. The case raised several questions regarding diagnosis and treatment strategy for bulky testicular seminoma. |
| first_indexed | 2024-12-10T06:25:58Z |
| format | Article |
| id | doaj.art-b5645a046ec1462b903baad5661bdbb0 |
| institution | Directory Open Access Journal |
| issn | 2214-4420 |
| language | English |
| last_indexed | 2024-12-10T06:25:58Z |
| publishDate | 2016-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Case Reports |
| spelling | doaj.art-b5645a046ec1462b903baad5661bdbb02022-12-22T01:59:13ZengElsevierUrology Case Reports2214-44202016-11-019C485010.1016/j.eucr.2016.08.012Pure Stage I Seminoma with an Elevated hCG of 25,265 mIU/ml: A Case ReportHiromichi Katayama0Hiroshi Aoki1Katsuyuki Taguchi2Yuu Sakurada3Tomonori Sato4Masahiro Takahashi5Rie Shibuya6Hiroshi Naganuma7Shigeto Ishidoya8Division of Urology, Sendai City Hospital, Sendai, JapanDivision of Urology, Sendai City Hospital, Sendai, JapanDivision of Urology, Sendai City Hospital, Sendai, JapanDivision of Urology, Sendai City Hospital, Sendai, JapanDivision of Urology, Sendai City Hospital, Sendai, JapanDivision of Urology, Sendai City Hospital, Sendai, JapanDivision of Pathology, Sendai City Hospital, Sendai, JapanDivision of Pathology, Sendai City Hospital, Sendai, JapanDivision of Urology, Sendai City Hospital, Sendai, JapanWe report a histologically pure stage 1 seminoma with an elevated human chorionic gonadotropin (hCG). A 38 year-old man was referred for the evaluation of the left testicular swelling. He showed an elevated serum hCG level of 25,265 mIU/ml with normal a fetoprotein and lactate dehydrogenase. Imaging showed heterogeneous tumor without any metastatic lesions. We conducted 4 courses of chemotherapy before detecting hCG nadir. The final pathological report showed pure seminoma with syncytiotrophoblastic cells but no choriocarcinoma components. The patient remains disease free until present time. The case raised several questions regarding diagnosis and treatment strategy for bulky testicular seminoma.http://www.sciencedirect.com/science/article/pii/S2214442016301012SeminomahCGSyncytiotrophoblastic cells |
| spellingShingle | Hiromichi Katayama Hiroshi Aoki Katsuyuki Taguchi Yuu Sakurada Tomonori Sato Masahiro Takahashi Rie Shibuya Hiroshi Naganuma Shigeto Ishidoya Pure Stage I Seminoma with an Elevated hCG of 25,265 mIU/ml: A Case Report Urology Case Reports Seminoma hCG Syncytiotrophoblastic cells |
| title | Pure Stage I Seminoma with an Elevated hCG of 25,265 mIU/ml: A Case Report |
| title_full | Pure Stage I Seminoma with an Elevated hCG of 25,265 mIU/ml: A Case Report |
| title_fullStr | Pure Stage I Seminoma with an Elevated hCG of 25,265 mIU/ml: A Case Report |
| title_full_unstemmed | Pure Stage I Seminoma with an Elevated hCG of 25,265 mIU/ml: A Case Report |
| title_short | Pure Stage I Seminoma with an Elevated hCG of 25,265 mIU/ml: A Case Report |
| title_sort | pure stage i seminoma with an elevated hcg of 25 265 miu ml a case report |
| topic | Seminoma hCG Syncytiotrophoblastic cells |
| url | http://www.sciencedirect.com/science/article/pii/S2214442016301012 |
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