Bibliographic Details
| Title: |
Bone marrow metastasis in a patient with non‐seminomatous testicular germ cell tumor |
| Authors: |
Takashi Ueda, Ippei Takada, Teruki Shimizu, Saya Ito, Atsuko Fujihara, Takumi Shiraishi, Terukazu Nakamura, Osamu Ukimura |
| Source: |
IJU Case Reports, Vol 5, Iss 4, Pp 247-250 (2022) |
| Publisher Information: |
Wiley, 2022. |
| Publication Year: |
2022 |
| Collection: |
LCC:Diseases of the genitourinary system. Urology |
| Subject Terms: |
AFP, bone marrow metastasis, desperation RPLND, salvage chemotherapy, testicular germ cell tumor, Diseases of the genitourinary system. Urology, RC870-923 |
| More Details: |
Introduction Metastasis to the bone marrow is rare in testicular germ cell tumor patients. We report a case of a patient with a non‐seminomatous testicular germ cell tumor who presented with bone marrow metastases after intensive chemotherapy. Case presentation A 36‐year‐old man was admitted to the hospital with pancytopenia. Previously, he had received intensive care for an advanced left testicular germ cell tumor. Although multidisciplinary treatments including several regimens of salvage chemotherapy, desperation retroperitoneal lymph node dissection, and focal radiotherapy were performed, the serum tumor marker alfa‐fetoprotein was not normalized and there were no findings of relapse by several imaging modalities. Bone marrow aspirate, conducted to diagnose a cause of pancytopenia, revealed metastatic germ cell tumors in the bone marrow. Conclusion Bone marrow metastasis should be considered as a differential diagnosis in patients with germ cell tumors whose serum tumor makers are not normalized without any radiographic finding of recurrence. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2577-171X |
| Relation: |
https://doaj.org/toc/2577-171X |
| DOI: |
10.1002/iju5.12446 |
| Access URL: |
https://doaj.org/article/4e443df3d39e469b84a0810847c257b9 |
| Accession Number: |
edsdoj.4e443df3d39e469b84a0810847c257b9 |
| Database: |
Directory of Open Access Journals |
