An 81-year-old patient with recent diagnosis of classic testicular seminoma

  • Sandro José Martins Oncology Center, Brasília University-Hospital and Armed Forces Hospital, Brasília-DF, Brazil.
  • José Carlos de Almeida Urology Division, Armed Forces Hospital, Brasília-DF, Brazil.
  • Vitorino Modesto dos Santos | vitorinomodesto@gmail.com Medical Division, Catholic University; Internal Medicine Department, Armed Forces Hospital, Brasília-DF, Brazil.
  • Ana Carolina Vieira Cançado Internal Medicine Department, Armed Forces Hospital, Brasília-DF, Brazil.
  • Giovanna Ferraz Cavalcanti Internal Medicine Department, Armed Forces Hospital, Brasília-DF, Brazil.
  • Kelle Regina Alves Ribeiro Internal Medicine Department, Armed Forces Hospital, Brasília-DF, Brazil.

Abstract

An old patient with recent diagnosis of classic seminoma is reported. The tumor of left testicle was heralded by tenderness about 30 days before medical attention and enlarged testis confirmation. There was antecedent of left testis hypotrophy treated with testosterone and a surgery for varicocele at 15 years of age. Clinical hypothesis of testicular tumor was strengthened by ultrasonography images and elevated tumor markers (lactate dehydrogenase, α-fetoprotein, and β-hCG). Radical orchiectomy was performed and a classic seminoma (pT1pNx) was diagnosed. Active waiting was the first choice for management, but six months later a retroperitoneal mass with lymph node enlargement were found, and he underwent four sessions of carboplatin (AUC 5), bleomycin and etoposide (BEP regimen). Asymptomatic, he was referred to outpatient surveillance on Oncology. Population-based studies about frequency and outcome of early-stage testis seminoma in elderly are scarce. Case studies might contribute to the knowledge about this condition.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Author Biographies

Sandro José Martins, Oncology Center, Brasília University-Hospital and Armed Forces Hospital, Brasília-DF
Clinical Oncology Division
José Carlos de Almeida, Urology Division, Armed Forces Hospital, Brasília-DF
Urology Division
Vitorino Modesto dos Santos, Medical Division, Catholic University; Internal Medicine Department, Armed Forces Hospital, Brasília-DF
Internal Medicine Department
Ana Carolina Vieira Cançado, Internal Medicine Department, Armed Forces Hospital, Brasília-DF
Internal Medicine Department
Giovanna Ferraz Cavalcanti, Internal Medicine Department, Armed Forces Hospital, Brasília-DF
Internal Medicine Department
Kelle Regina Alves Ribeiro, Internal Medicine Department, Armed Forces Hospital, Brasília-DF
Internal medicine Department
Published
2016-06-23
Info
Issue
Section
Case Reports
Keywords:
Classic seminoma, diagnosis, elderly, testicular cancer.
Statistics
  • Abstract views: 1068

  • PDF: 617
  • HTML: 770
How to Cite
Martins, S. J., de Almeida, J. C., Modesto dos Santos, V., Cançado, A. C. V., Cavalcanti, G. F., & Ribeiro, K. R. A. (2016). An 81-year-old patient with recent diagnosis of classic testicular seminoma. Italian Journal of Medicine, 10(2), 143-146. https://doi.org/10.4081/itjm.2016.603