Abstract |
A 23-year-old male was admitted to our hospital for the management of pulmonary metastases. He had undergone right high orchiectomy, chemotherapy with four courses of PEB regimen ( cisplatin, etoposide, bleomycin) and retroperitoneal lymph node dissection the previous year. The pathological findings showed mixed germ cell tumor ( seminoma, yolk sac tumor, embryonal carcinoma) in the testis and mature teratoma in the draining lymph node. Two courses of salvage chemotherapy using a VIP regimen ( etoposide, ifosfamide, cisplatin) were performed after diagnosis of pulmonary metastases, but had no affect on tumor size. Video-assisted excision of pulmonary metastases was then performed, giving a pathological diagnosis of rhabdomyosarcoma in all three resected tumors. The operation was followed by three courses of CYVADIC ( cyclophosphamide, vincristine, adriamycin, dacarbazin) chemotherapy and oral cyclophosphamide, as a small residual tumor was suspected. These chemotherapeutic interventions have appeared effective, with no apparent recurrence of lesions at present, one year after the excision of pulmonary metastases.
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Authors | Masafumi Kita, Yutaka Sasaki, Mitsuhiko Okuyama, Yuji Saga, Hiroshi Hashimoto, Shigeo Kaneko, Sunao Yachiku, Masayuki Tokumitsu, Fumiei Inada, Hironori Ishida |
Journal | Nihon Hinyokika Gakkai zasshi. The japanese journal of urology
(Nihon Hinyokika Gakkai Zasshi)
Vol. 94
Issue 7
Pg. 696-700
(Nov 2003)
ISSN: 0021-5287 [Print] Japan |
PMID | 14672002
(Publication Type: Case Reports, English Abstract, Journal Article, Review)
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Chemical References |
- Vincristine
- Etoposide
- Dacarbazine
- Doxorubicin
- Cyclophosphamide
- Cisplatin
- Ifosfamide
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Topics |
- Adult
- Antineoplastic Combined Chemotherapy Protocols
(administration & dosage, therapeutic use)
- Carcinoma, Embryonal
(pathology, therapy)
- Cisplatin
(administration & dosage)
- Combined Modality Therapy
- Cyclophosphamide
(administration & dosage)
- Dacarbazine
(administration & dosage)
- Doxorubicin
(administration & dosage)
- Drug Administration Schedule
- Endodermal Sinus Tumor
(pathology, therapy)
- Etoposide
(administration & dosage)
- Humans
- Ifosfamide
(administration & dosage)
- Lung Neoplasms
(secondary, therapy)
- Lymph Node Excision
- Male
- Orchiectomy
- Pneumonectomy
- Rhabdomyosarcoma
(secondary, therapy)
- Seminoma
(pathology, therapy)
- Testicular Neoplasms
(therapy)
- Vincristine
(administration & dosage)
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