TITLE:
Occlusive Syndrome Revealing a Nonseminoma Germ Cell Tumor Metastatic Testicular
AUTHORS:
N. M. Diagne Gueye, R. Kane, Y. Diallo, A. R. Ndiaye, A. R. Ndiaye
KEYWORDS:
Testicular Cancer, Non Seminomatous Germ Cell Tumor, Intestinal Obstruction
JOURNAL NAME:
Open Journal of Urology,
Vol.6 No.9,
September
19,
2016
ABSTRACT: Testicular cancer is rare. The authors
report the case of a young Senegalese 21, who has consulted for an occlusive
syndrome evolving for 48 hours that prompted his hospitalization. Note that the
patient has consulted several times to persistent inguinal scrotal pain, a big
right purse with chronic analgesic requirements and anti-inflammatory.
Occlusive before this table, abdominal pelvic CT was performed and highlighted
the presence of lung metastases, a large pelvic lymph node casting bridging the
inter vesico-rectal space and responsible for extrinsic compression of the
small intestine, lymph node inter casting aorto-cellar and latero aortic liver
and multiple secondary locations. Faced with this bundle of arguments, clinical
and laboratory, metastatic testicular tumor was raised and measured tumor
markers. A right orchiectomy by inguinal was made with histology: A
non-seminomatous germ cell tumor stage III. After orchiectomy germinal markers
were still high and there was the problem of persistent occlusive syndrome
despite resuscitation. A chemotherapy regimen was initiated with 4 cycles of
chemotherapy according to the protocol BEP (bleomycin, etoposide, cisplatin). A
significant regression of occlusive syndrome with a decline in clinical
symptoms was noted. The revaluation at 3 months, 6 months and 1 year were
highlighted: A normal clinical examination associated with a persistent
correction rate of germline markers and lack of active lesion at thoraco-abdominopelvic
CT.